Heme/Onc 1 - TEG, HIT

Question 1

Give _____ if R (clot time) elevated on TEG.

Answer 1

FFP, 4-factor PCC, or specific anticoagulant reversal agent

Question 2

Give _____ if K (clot strength time) elevated on TEG.

Answer 2

Cryoprecipitate

Question 3

Give _____ if α angle (rate of clot formation) low on TEG.

Answer 3

Cryoprecipitate

Question 4

Give _____ if MA (maximum amplitude) low on TEG.

Answer 4

Platelets (and/or DDAVP)

Question 5

Give _____ if LY30 (lysis at 30 minutes) increased (and coag index <1) on TEG.

Answer 5

Tranexamic acid

Question 6

TXA should be given within ___ hrs of injury.

Answer 6

8

Question 7

normal ionized calcium

Answer 7

~5 mg/dL

Question 8

HIT type 2 typically occurs ___ days after exposure.

Answer 8

5-10

Question 9

HIT type 2 typically causes platelets to fall by ___%.

Answer 9

> 50

Question 10

HIT type 2 typically results in platelet count ___mm3.

Answer 10

> 20,000

Question 11

4T score includes Thrombocytopenia, Timing, eTiology, and _____.

Answer 11

Thrombosis

Question 12

Is BAL from checkpoint inhibitor pneumonia CD4 or CD8 predominant?

Answer 12

CD8+