University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2020
Views:

461

Pages:

1
Author:

Prince Sampson

Workup and Initial Therapy for Coagulopathy Type of bleeding: Diffuse from wound or intravenous sites, or both, and from mucous membranes vs local petechiae, ecchymoses, or both Rule out lack of surgical hemostasis ↑ Correct hypothermia Immediate PT, PTT, fibrinogen, platelet count Decreased platelets or suspicion of thrombocytopathy Transfuse 5-10 units of platelets, consider DDAVP Increased PT, PTT Normal platelet counts Normal or increased fibrinogen levels Fresh frozen plasma Increased PT, PTT Low platelets Decreased fibrinogen Fibrin split products cryoprecipitate platelets Workup for disseminated intravascular coagulopathy fibrinolysis Fig. 49.11 Algorithm for the evaluation and initial therapy of a patient with suspected perioperative coagulopathy. The evaluation in based on the clinical scenario and is affected by the type and location of injury, the amount of fluid administered, and the age and body temperature of the patient. DDAVP, 1-Deamino-8-o-arginine vasopressin, a vasopressin analogue also known as desmopressin acetate: PT, prothrombin time: PT7, partial thrombo plastin tim