Building Schemata with Major Haemorrhage
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Questions and Answers

What is the lethal triad that the treatment for major haemorrhage aims to eliminate?

  • Calcium, metabolic alkalosis, hypothermia
  • Coagulopathy, metabolic alkalosis, hypothermia (correct)
  • Coagulopathy, metabolic acidosis, hypothermia
  • Coagulopathy, metabolic alkalosis, hyperthermia
  • Why is cryoprecipitate administered during major haemorrhage?

  • It is spun from platelets so contains more fibrinogen than platelets alone
  • It is spun from FFP and so contains a lot more fibrinogen than FFP (correct)
  • It is spun from red blood cells so contains more erythrocytes to carry O2
  • It is spun from FFP so contains more O2 carrying capacity
  • What is administered during massive transfusion to support the clotting process?

  • Calcium to activate clotting (correct)
  • Insulin for aerobic respiration
  • Potassium to manage cardiac arrhythmias
  • Magnesium to prevent muscle spasms
  • Which of the following is NOT part of the lethal triad in the treatment of major haemorrhage?

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

    What is one of the main purposes of administering cryoprecipitate?

    <p>To promote clotting through increased fibrinogen</p> Signup and view all the answers

    What is a potential effect of losing 02 during major haemorrhage?

    <p>02 is lost causing anaerobic respiration</p> Signup and view all the answers

    What could an altered pH during major haemorrhage potentially cause?

    <p>Deterioration of immune response</p> Signup and view all the answers

    How is normothermia impaired during major haemorrhage?

    <p>Peripheral vasoconstriction preventing oxygen-rich blood from reaching peripheries</p> Signup and view all the answers

    What is the recommended approach for fluid replacement upon recognition of major haemorrhage?

    <p>Restricted crystalloid fluid replacement aiming for baseline BP</p> Signup and view all the answers

    Which of the following describes a possible consequence of major haemorrhage?

    <p>Decreased blood flow leading to cellular hypoxia</p> Signup and view all the answers

    When peripheral vasoconstriction occurs during major haemorrhage, what is its main effect?

    <p>Prevents oxygen-rich blood from reaching the core organs</p> Signup and view all the answers

    Why might cardiac arrhythmias occur during major haemorrhage?

    <p>Decreased blood volume leads to lower oxygen supply to the heart</p> Signup and view all the answers

    What does restricted crystalloid fluid replacement aim for during major haemorrhage?

    <p>Aiming for baseline BP</p> Signup and view all the answers

    Study Notes

    Building Schemata with Major Haemorrhage

    • Oxygen Loss and Respiration: Loss of oxygen (O2) can lead to anaerobic respiration, or respiratory alkalosis, not aerobic respiration or ATP production.
    • Altered PH in Major Haemorrhage: Changes in blood pH during major haemorrhage can impair treatment responses, affect enzyme function, and cause cardiac arrhythmias.
    • Normothermia Impairment: The body's ability to maintain normal temperature is impaired in major haemorrhage, due to peripheral vasoconstriction, preventing O2-rich blood and clotting factors from reaching the peripheries.
    • Fluid Replacement: Fluid replacement during major haemorrhage, while waiting for blood products, should involve restricted crystalloid fluid replacement aiming for a lower blood pressure target, not baseline.
    • Treatment Goal: Treatment for major haemorrhage aims to eliminate the lethal triad, comprising coagulopathy, metabolic acidosis, and hypothermia, not other variations of the triad.
    • Cryoprecipitate Function: Cryoprecipitate is used to increase fibrinogen levels and manage clotting, not produced from platelets or as an oxygen carrier.
    • Massive Transfusion and Calcium: Calcium is administered during massive transfusion to activate clotting, not potassium for its cardiac effects.

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    Description

    This quiz focuses on major haemorrhage and its physiological impacts, including oxygen loss, altered pH levels, and normothermia impairment. You'll explore treatment goals and fluid replacement strategies essential for managing patients effectively during a haemorrhagic event. Assess your understanding of critical concepts in trauma care and emergency medicine.

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