Attempt to Decrease Phlebotomy
Attempt to Decrease Phlebotomy Elliott Haut R. MD Blood transfusion is commonly used to treat anemia in intensive care units (ICUs). By ICU day three, 95% of all ICU patients…
Remember that Bleeding Associated with Direct Thrombin Inhibitors is not Correctable with Protamine, Fresh-Frozen Plasma, or Platelets
Remember that Bleeding Associated with Direct Thrombin Inhibitors is not Correctable with Protamine, Fresh-Frozen Plasma, or Platelets Michael B. Streiff MD Thrombocytopenia is a common occurrence among hospitalized patients, particularly…
Start a Proton Pump Inhibitor Infusion for Gastric and Duodenal Bleeding
Start a Proton Pump Inhibitor Infusion for Gastric and Duodenal Bleeding Hari Nathan MD Upper gastrointestinal bleeding from the stomach or duodenum may be the primary reason for intensive care…
Consider Bleeding Around a Chest Tube to be a Sign of Bleeding in the Chest Cavity Until Proven Otherwise
Consider Bleeding Around a Chest Tube to be a Sign of Bleeding in the Chest Cavity Until Proven Otherwise David J. Caparrelli MD Establishing adequate drainage of the mediastinumand pleural…
Administer Octreotide in Variceal Bleeding While Waiting for Endoscopy
Administer Octreotide in Variceal Bleeding While Waiting for Endoscopy Madhavi Meka MD Cirrhosis affects 3 of 1,000 adults in North America and is responsible for more than 30,000 deaths annually….
Consider Leukocyte-Depleted Blood in Patients who are Immunosuppressed
Consider Leukocyte-Depleted Blood in Patients who are Immunosuppressed Mehmet Ozcan MD Praveen Kalra MD Leukocytes in allogenic blood products have been shown to cause several transfusion-related adverse reactions and complications….
Remember that Reticulocyte Count is not Accurate After Blood Transfusion
Remember that Reticulocyte Count is not Accurate After Blood Transfusion Anthony Slonim MD, DrPH The presence of both an adequate number of erythrocytes and circulating blood volume is essential for…
Do Not Administer Platelets in Type 2 Heparin-Induced Thrombocytopenia
Do Not Administer Platelets in Type 2 Heparin-Induced Thrombocytopenia Laith Altaweel MD Heparin is an important anticoagulant in both medical and surgical patient populations. One of the most serious complications…
Do not Administer Platelets in Immune Thrombocytopenic Purpura
Do not Administer Platelets in Immune Thrombocytopenic Purpura Laith Altaweel MD Immune thrombocytopenic purpura (ITP) is an autoimmune disorder characterized by low platelet count and mucocutaneous bleeding. The estimated incidence…
Have a High Threshold in Transfusing Platelets, Especially in Nonbleeding Patients who are not Preoperative
Have a High Threshold in Transfusing Platelets, Especially in Nonbleeding Patients who are not Preoperative Michael J. Haut MD Platelet transfusion has made a significant contribution to the care of…
