- Evaulation: - Patient's Temperature: - hypothermia causes platlet dysfunction and increased bleeding time;
- Treatment -
platlets (6-8 units at a time); - One unit of
platlets will increase platlet count by 1000; - Check 1hr post Platlet Count;
- Dilutional Thrombocytopenia; -
RBC transfusion or IV fluid therapy; - Treat with Platlet transfusions as needed; - Must transfuse 8 units of
platlets for every 10-12 units of
pRBC's transfused; - Misc: - Von Willebrand's dz: Treat with
Cryoprecipitate or
DDAVP; - Acquired Platlet dysfunction: w/ Uremia try conjugated estrogens; - Note: TTP: Platlet transfusion is Contraindicated; -----------------------------------------
Review Article: Seminars in Medicine of the Beth Israel Hospital, Boston: Molecular And Cellular Biology Of Blood Coagulation.
