Coagulopathy Assessment and Treatment Quiz

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Questions and Answers

Match the type of bleeding with its description:

Diffuse bleeding = Wound or intravenous sites, or both, and from mucous membranes Local petechiae = Small red or purple spots on the body caused by bleeding Ecchymoses = Larger areas of discoloration due to bleeding under the skin Mucous membrane bleeding = Bleeding occurring in areas like the mouth, nose, or gastrointestinal tract

Match the laboratory finding with its therapeutic response:

Decreased platelets = Transfuse 5-10 units of platelets Increased PT and PTT = Administer fresh frozen plasma Low platelets with decreased fibrinogen = Transfusion of cryoprecipitate and platelets Increased fibrinogen levels = No immediate transfusion required

Match the condition of the patient with the necessary correction:

Hypothermia = Correct before surgical interventions Thrombocytopathy = Consider administering DDAVP Coagulopathy = Immediate PT, PTT, fibrinogen, platelet count Surgical hemostasis = Rule out before further evaluations

Match the therapy to its condition:

<p>DDAVP therapy = Indicated for thrombocytopathy Cryoprecipitate = Used for low fibrinogen levels Fresh frozen plasma = Used in cases of increased PT and PTT Platelet transfusion = Administered for decreased platelets</p> Signup and view all the answers

Match the classification of coagulopathy with its feature:

<p>Disseminated intravascular coagulopathy = Accompanied by fibrin split products Hypothermia-induced coagulopathy = Requires correction of body temperature Trauma-related coagulopathy = Depends on location and extent of injury Massive hemorrhage = Involves significant loss of blood volume</p> Signup and view all the answers

Flashcards

Coagulopathy Workup

A series of tests and assessments to identify and diagnose a bleeding disorder, focusing on the cause and severity of the coagulopathy.

Bleeding Type Assessment

Classifying the type of bleeding as diffuse (widespread), from particular sites (e.g., IV), or from mucous membranes, vs. localized petechiae or ecchymoses.

Initial Coagulation Tests

Quick tests to check blood clotting function: prothrombin time (PT), partial thromboplastin time (PTT), fibrinogen levels, and platelet counts.

Low Platelets Treatment

If platelet counts are low, transfuse platelets. If cause is suspected (e.g. severe thrombocytopenia/bleeding), consider desmopressin acetate (DDAVP).

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Abnormal PT/PTT Treatment

If PT and PTT are elevated but platelets and fibrinogen are normal, use fresh frozen plasma; if both elevated and fibrinogen is low, use cryoprecipitate, platelets, and fibrin split products to treat.

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Study Notes

Workup and Initial Therapy for Coagulopathy

Type of bleeding: Diffuse from wounds/IV sites, mucous membranes, or localized petechiae/ecchymoses
Rule out: Lack of surgical hemostasis
Correct: Hypothermia
Initial assessment: Prothrombin time (PT), Partial thromboplastin time (PTT), fibrinogen, platelet count
Decreased platelets/suspected thrombocytopathy: Transfuse 5-10 units of platelets, consider DDAVP
Increased PT/PTT, normal platelet counts/increased fibrinogen: Fresh frozen plasma
Increased PT/PTT, low platelets, decreased fibrinogen: Fibrin split products + cryoprecipitate + platelets. Workup for disseminated intravascular coagulopathy/fibrinolysis

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Description

Test your knowledge on the workup and initial therapy for coagulopathy. This quiz covers bleeding types, laboratory assessments, and appropriate interventions based on specific coagulation profiles. Perfect for medical professionals looking to refresh their understanding of coagulopathy management.