Podcast
Questions and Answers
Which laboratory tests should be completed immediately when coagulopathy is suspected?
Which laboratory tests should be completed immediately when coagulopathy is suspected?
What initial treatment should be considered for a patient with decreased platelets or suspected thrombocytopathy?
What initial treatment should be considered for a patient with decreased platelets or suspected thrombocytopathy?
In a patient with increased PT and PTT, but normal platelet counts and normal or increased fibrinogen levels, what is the appropriate treatment?
In a patient with increased PT and PTT, but normal platelet counts and normal or increased fibrinogen levels, what is the appropriate treatment?
What combination of treatments is suggested for a patient with increased PT, increased PTT, low platelets, and decreased fibrinogen levels?
What combination of treatments is suggested for a patient with increased PT, increased PTT, low platelets, and decreased fibrinogen levels?
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What should be ruled out in the initial evaluation of a patient with coagulopathy?
What should be ruled out in the initial evaluation of a patient with coagulopathy?
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Study Notes
Coagulopathy Workup
- Bleeding Type: Diffuse from wounds/IV sites, mucous membranes, or local (petechiae, ecchymoses)
- Initial Evaluation: Rule out lack of surgical hemostasis, correct hypothermia, immediate PT, PTT, fibrinogen, and platelet count.
Decreased Platelets
- Workup: Suspect thrombocytopathy
- Treatment: Transfuse 5-10 units platelets, consider DDAVP.
Increased PT/PTT
- Workup: Normal/Increased platelet counts, normal/increased fibrinogen
- Treatment: Fresh frozen plasma
Increased PT/PTT (low platelets, decreased fibrinogen)
- Workup: Low platelets, decreased fibrinogen
- Treatment: Fibrin split products + cryoprecipitate + platelets
Disseminated Intravascular Coagulation (DIC)
- Workup Suspect DIC. Evaluation is based on clinical scenario, injury type/location, fluid administered, and patient age/body temperature.
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Description
Test your knowledge on coagulopathy evaluation and management based on different bleeding types and lab results. This quiz covers the strategies for diagnosing and treating conditions like decreased platelets, increased PT/PTT, and DIC. Prepare yourself to assess clinical scenarios effectively.
