Autotransfusion- Exam 3 Flashcards Preview

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Flashcards in Autotransfusion- Exam 3 Deck (71)
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61

Contraindications a perfusionist is most likely to encounter

Wound infections
Pleural effusion
betadine
warm solutions
sterile water
malignancy
topical hemostatic agents

62

Disadvantages of Autotransfusion

Depletion of plasma and platelets- to eliminate clotting factors and activated platelets, causes coagulopathy if reinfused

63

When is the disadvantage of depletion of plasma and platelets evident?

When very large blood losses occur

64

Typically, patient may require FFP/platelets when...

Estimated blood loss is greater than half of the patient's blood volume; must test to determine the need for blood products

65

Typically, patient may require FFP/platelets when...

Estimated blood loss is greater than half of the patient's blood volume; must test to determine the need for blood products

66

Special Considerations: Orthopedic

Antibiotics which are plasma bound can be removed, topical antibiotics which are not plasma bound may not be washed out (may actually become concentrated to the point of being nephrotoxic)

Cement is often used or encountered during primary or revision total join replacement surgery. Cement in the liquid or soft state should not be introduced into the autotransfusion system

67

The use of ultrasonic equipment during revision of total joints does what?

Changes the cement to a liquid or soft state precluding autotransfusion during the use of such equipment

68

Special Considerations: Emergency

in life saving situations with the consent of the surgeon, autotransfusion can be utilized in the presence of the previous stated contraindications i.e. sepsis, bowl contamination and malignancy

69

What is the governing body of autotransfusion?

International Board of Blood Management (CPBMT)

70

What is the IBBM's mission?

TO promote education and sound scientific principles to advance the safe and competent practice of perioperative blood management

71

In order to become a Certified Perioperative Blood Management Technologist (CPBMT)

Min high school diploma/equivalent
Be practicing in the field of blood management for a min of 1 year
Complete 50 autotransfusion procedures/year