Protamine Sulphate for Prolonged Bleeding After Dialysis Quiz
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Questions and Answers

What is the purpose of using protamine sulphate in relation to Tinzaparin?

  • To reverse the effects of other anticoagulants
  • To enhance the activity of Tinzaparin
  • To neutralize the anti-factor Xa activity of Tinzaparin (correct)
  • To prolong the bleeding time after dialysis

Under what circumstances should protamine sulphate be administered?

  • If bleeding persists for more than 30 minutes after dialysis (correct)
  • Whenever Tinzaparin is used during dialysis
  • If the patient is at high risk for bleeding complications
  • As a routine precaution before starting dialysis

What percentage of the anti-factor Xa activity of Tinzaparin can be neutralized by protamine sulphate?

  • 65 - 80% (correct)
  • 25 - 40%
  • 100%
  • 50%

Where should protamine sulphate be administered?

<p>In the hospital after admission (D)</p> Signup and view all the answers

What is the primary consideration for administering protamine sulphate?

<p>If the bleeding is giving cause for significant concern (A)</p> Signup and view all the answers

What is the minimum duration of bleeding that should trigger consideration for using protamine sulphate?

<p>30 minutes (B)</p> Signup and view all the answers

Which of the following techniques should be attempted before considering the use of protamine sulphate?

<p>The usual techniques to control bleeding (D)</p> Signup and view all the answers

What percentage of Tinzaparin's anti-factor Xa activity is neutralized by protamine sulphate?

<p>65% - 80% (D)</p> Signup and view all the answers

Where should protamine sulphate not be administered?

<p>In the dialysis unit (A)</p> Signup and view all the answers

What is required when administering protamine sulphate?

<p>Hospital admission (C)</p> Signup and view all the answers

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