Anemia and Body Response
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Questions and Answers

What is the most common cause of bleeding following large volume transfusion?

  • Citrate toxicity
  • Dilutional thrombocytopenia (correct)
  • Hyperkalemia
  • Hypothermia

    • At what rate of transfusion may citrate toxicity occur?

  • Three units/15 minutes
  • Two units/10 minutes
  • One unit/5 minutes (correct)
  • One unit/10 minutes

    • What is a complication of hypothermia?

  • Increased platelet sequestration
  • Decreased clotting factors activity
  • Both A and B (correct)
  • None of the above

    • What is a consequence of rapid and massive transfusion of whole blood?

    <p>Hyperkalemia</p> Signup and view all the answers

    What is a common hematological complication of large volume transfusion?

    <p>Thrombocytopenia</p> Signup and view all the answers

    What is a common pulmonary complication of transfusion?

    <p>Acute pulmonary insufficiency</p> Signup and view all the answers

    What is the primary goal of treatment in massive blood loss?

    <p>Volume replacement</p> Signup and view all the answers

    What is the effect of a temporary decrease in a patient's Hb and Ht?

    <p>The shift of fluid and proteins from the extravascular spaces into the vasculature</p> Signup and view all the answers

    What is the role of 2,3 DPG in chronic anemia?

    <p>Favoring the release of oxygen in the tissue</p> Signup and view all the answers

    What is the consequence of hemorrhage, especially if complicated by infection?

    <p>The release of biologic mediators</p> Signup and view all the answers

    What is the indication for red blood cell transfusion?

    <p>Hb &lt; 7 g/dl</p> Signup and view all the answers

    What is often required to achieve hemostasis in massively transfused patients?

    <p>Administration of plasma products and platelets</p> Signup and view all the answers

    What is the consequence of hemostatic dysfunction?

    <p>Damage to the endothelium</p> Signup and view all the answers

    What is a consequence of massive transfusion?

    <p>Coagulopathy</p> Signup and view all the answers

    What is a possible cause of hypocalcaemia in patients receiving massive transfusions?

    <p>Citrate in coagulant</p> Signup and view all the answers

    What is a consequence of the acidic pH of stored blood?

    <p>Transfusion acidosis</p> Signup and view all the answers

    What can be used to correct acid-base imbalance caused by massive transfusion?

    <p>Sodium bicarbonate</p> Signup and view all the answers

    What happens to blood when it is stored for 3 weeks?

    <p>It becomes more acidic</p> Signup and view all the answers

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