Flashcards in Haematology in Peri-Op Care Deck (17):
What is anaemia?
A reduction in Hb concentration below normal
What is the normal range for Hb for men and women respectively?
How can anaemia be classified?
By MCV of red cells i.e. macrocytic, normocytic, and microcytic
What is the most common type of anaemia (according to cause)?
What are some of the causes of microcytic anaemia?
Anaemia of chronic disease
Ssss(something blastic) anaemia
What are some of the causes of macrocytic anaemia?
Which of the causes of macrocytic anaemia are the most common?
Folate and B12 deficiencies
What are some of the causes of normocytic anaemia?
Kidney - CKD
Acute blood loss
Rrrrrr (find something)
Anaemia of chronic anaemia
Which operations are high risk for bleeding?
When are pts assessed haematologically?
In pre-op clinic for elective surgery
Apart from assessment for anaemia, what else is assessed in pre-op clinic wrt haematology?
VTE risk assessment
Cellular immune competence
Oxygen carrying capacity
When assessing haemostatic competence, what aspects of blood workup, hx etc do we look at?
Hx of bleeding
FHx of bleeding disorders
DHx - antithrombotic agents
In an elective situation and an acute situation, how is anaemia treated?
Elective - treat the cause e.g. iron suppliments, erythropoeitin injections etc according to cause
Emergency - G&S/crossmatch -> transfusion of blood
Haemastatic assessment - important aspects in the Hx?
Previous operations - did they bleed lots?
Any previous injuries involving blood loss?
Known anaemia, clotting disorders, hx of thrombotic events, antithrombotic therapies
Heavy bleeds with periods, nose bleeds, assoc with giving birth?
What studies are involved in a clotting screen?
Do surgical pts on anticoagulation have to stop them before surgery?
Only don’t have to if for minor surgery, dental procedures, or cataracts.