Clinical Transfusion Medicine - part 3 pptx

... practices or transfusion styles. Much of clinical transfusion medicine is concerned with understanding these practices and styles and intervening to effect a change to bet- ter transfusion practice. 38 Clinical ... empiric clinical experience and not on the basis of clinical studies. Transfusion styles differ from transfusion practices, but have in common their origin in...

Ngày tải lên: 10/08/2014, 16:22

... Volume < 15% 1 5 -3 0% 3 0-4 0% > 40% Clinical: Pulse rate (min) < 100 > 100 > 120 > 140 Blood Pressure Normal ↓↓↓↓↓↓ Respirator rate < 20 2 0 -3 0 3 0-4 0 > 35 (min) Fluids Crystalloids ... appropri- ate candidates for prophylactic plasma or platelets, as shown in Table 13. 2. Clinical Transfusion Medicine, by Joseph D. Sweeney and Yvonne Rizk. ©...

Ngày tải lên: 10/08/2014, 16:22

... has been used empirically in thrombocytopenic 96 Clinical Transfusion Medicine 23 Blood Transfusion in Medicine IX: Using Drugs to Reduce Blood Transfusion Understanding the use of prohemostatic ... May require blood transfusion but can be stabilized with crystalloids. 3 180 0-2 400 3 0-4 0 Reduction in systolic blood pressure, significant tachycardia and tachypnea. Blo...

Ngày tải lên: 10/08/2014, 16:22

... 1 23 Non-Life Threatening Acute Complications of Blood Transfusion 128 33 . Delayed and Late Complications of Blood Transfusion 131 Delayed Blood Transfusion Reactions 131 Late Complications 133 34 . ... products. The second area of transfusion medicine can be described as clinical transfu- sion medicine. Clinical transfusion medicine is concerned with aspects related...

Ngày tải lên: 10/08/2014, 16:22

... Hct (HCT I ) = 0.24 Posttransfusion Hct (HCT F ) = 0 .30 Then: RBC (mls) = 35 00 (0 .3 0-0 .24) = 35 00 (0.06) = 210 mls Therefore: The dose is 1 unit. Example 2:A 75 Kg 68-year-old male with intermittent ... stable-iron deficient subjects aged 20 and 80 years is shown. The symptomatic threshold for the 20-year-old may be a hemat- ocrit of 20; for the 80-year-old, at a hematocrit of...

Ngày tải lên: 10/08/2014, 16:22

... cirrhosis in hereditary -1 - AT deficiency. 136 Clinical Transfusion Medicine 32 Tr ansfusion related sepsis is an area of current interest in transfusion practice (Chapter 35 ). Transfusion related ... 0. 5-6 % of all products transfused; reactions to platelet transfusions 142 Clinical Transfusion Medicine 33 The patient’s pretransfusion platelet count, when avail...

Ngày tải lên: 10/08/2014, 16:22

... rare event occurs, TA-GVHD ex- hibits clinical manifestations 4-2 1 days after the transfusion and is, therefore, a delayed adverse reaction to blood transfusion (Chapter 33 ). TA-GVHD affects the liver, ... often extremely Clinical Transfusion Medicine, by Joseph D. Sweeney and Yvonne Rizk. © 1999 Landes Bioscience 148 Clinical Transfusion Medicine 34 similar to hepat...

Ngày tải lên: 10/08/2014, 16:22

... 29, 30 , 3 4 -3 6, 38 , 40, 41, 4 3- 4 9, 53, 54, 56, 57, 62, 69, 7 1-7 3, 76, 78, 8 0-8 3, 92, 93, 95, 96, 98, 10 1-1 03, 107, 108, 11 1-1 15, 12 0-1 23, 12 6-1 28, 131 , 133 , 13 5-1 38 , 142, 146, 149, 154, 156, 15 9-1 64 Plasma ... dysfunction 36 , 70, 73 Platelet refractoriness 89, 10 9-1 11 Platelets 4-7 , 9-1 1, 1 4-1 6, 28, 29, 34 , 35 , 36 , 3...

Ngày tải lên: 10/08/2014, 16:22

... 1 Immunological response only 1.6 (1. 0-2 .5) 6.5 (1. 2 -3 5.8) Virological response only 2.0 (1. 3- 3 .1) 9.7 (1. 6-5 8.4) No treatment response 3. 4 (2. 3- 5 .0) 51.0 (11. 3- 2 29.8) Clinical failure is usually defined ... cohort study. Lancet 1999, 35 3: 86 3- –868. 30 . Ledergerber B, Lundgren JD, Walker AS, et al. Predictors of trend in CD4-positive T-cell count and mortal...

Ngày tải lên: 10/08/2014, 16:22

... 1994. Placebo- controlled phase III trial of lenograstim in bone-marrow trans- plantation [published erratum appears in Lancet 1994 Mar 26 ;34 3(8900):804]. Lancet 34 3:696–700. Hacein-Bey-Abina S, ... appears in Lancet 1996 Mar 30 ;34 7(9005):914]. Lancet 34 7 :35 3 35 7. Scott MA, Gandhi MK, Jestice HK, et al. 1998. A trend towards an increased incidence of chronic graft-versus-host dise...

Ngày tải lên: 12/08/2014, 03:21