TYK36 - Revision history

WikiSysop at 22:19, 23 January 2022

2022-01-23T22:19:43Z

← Older revision		Revision as of 22:19, 23 January 2022
Line 1:		Line 1:
	__NOTOC__		__NOTOC__
	~~<div class="mw-collapsible mw-collapsed" style="width:100%">~~
	You have a 6 month old who just underwent repair of a complex congenital heart disease. On report, the team tells you they gave 300U/kg of heparin for CPB and upon separation from bypass gave 1.0mg of protamine per 100U of heparin given. They also administered 100 ml of cell saver blood from the perfusionist. Being concerned for postoperative bleeding, you then:		You have a 6 month old who just underwent repair of a complex congenital heart disease. On report, the team tells you they gave 300U/kg of heparin for CPB and upon separation from bypass gave 1.0mg of protamine per 100U of heparin given. They also administered 100 ml of cell saver blood from the perfusionist. Being concerned for postoperative bleeding, you then:

Line 10:		Line 9:

	D. Go on break		D. Go on break
			<div class="mw-customtoggle-TYK_Answer" style="text-align: right; color:#0000ff">Click for Answer</div>
			<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-TYK_Answer">

	<div class="mw-collapsible-~~content~~">
	==Answer==		==Answer==
	The answer is C (most likely). Remember, that even though cell saver blood DOES come from the CPB circuit (which does contain heparin) it undergoes "washing" which removes over 99% of the heparin. Unlikely that additional protamine will be needed. Too much protamine may actually cause a coagulopathy.		The answer is C (most likely). Remember, that even though cell saver blood DOES come from the CPB circuit (which does contain heparin) it undergoes "washing" which removes over 99% of the heparin. Unlikely that additional protamine will be needed. Too much protamine may actually cause a coagulopathy.


	==Notes==		==Notes==
	<references />		<references />
Line 23:		Line 19:

	==Keywords==		==Keywords==
	:


	</div>		</div>

	----		----
	----		----

WikiSysop: 1 revision imported

2021-03-20T16:48:29Z

1 revision imported

← Older revision	Revision as of 16:48, 20 March 2021
(No difference)

https://pedsanesthesia.net/wikiOLD032021>JustinHamrick at 12:09, 28 March 2015

2015-03-28T12:09:13Z

New page

__NOTOC__
<div class="mw-collapsible mw-collapsed" style="width:100%">
You have a 6 month old who just underwent repair of a complex congenital heart disease. On report, the team tells you they gave 300U/kg of heparin for CPB and upon separation from bypass gave 1.0mg of protamine per 100U of heparin given. They also administered 100 ml of cell saver blood from the perfusionist. Being concerned for postoperative bleeding, you then:

A. Give additional protamine because the cell saver blood from the pump will contain additional heparin

B. Give additional heparin because the cell saver blood will have excess protamine

C. Do nothing, no additional protamine needed

D. Go on break

<div class="mw-collapsible-content">
==Answer==
The answer is C (most likely). Remember, that even though cell saver blood DOES come from the CPB circuit (which does contain heparin) it undergoes "washing" which removes over 99% of the heparin. Unlikely that additional protamine will be needed. Too much protamine may actually cause a coagulopathy.

==Notes==
<references />

==Keywords==
:

</div>

----
----

<p style="text-align: center;">[[TYK35|<Prev Question]] --- [[TYK37|Next Question>]]</p>
<p style="text-align: center;">[[TYK About | About Test Your Knowledge]]</p>