PPH

Question 1

how much fluid can you give whilst awaiting blood products

Answer 1

Up to 2 litres crystalloid and 1.5 litres colloid

Question 2

when would you give FFP?

Answer 2

If ongoing haemorrhage and no haemostatic tests results available after 4 units of blood
or
earlier if significant coagulopathy suspected (or proven)

Question 3

How much FFP should you give (if needed)?

Answer 3

4 units FFP (after 4 units blood)
or
12 - 15 ml/kg if there’s prolonged APTT or PT
or
>15 ml/kg if APTT are >1.5x normal

Question 4

what’s the trigger level of platelets that says you need to give them a pool of platelets

Answer 4

75

Question 5

what’s the trigger level of fibrinogen?
what do you give if fibrinogen is this low?
how much do you give?

Answer 5

2 g/L is the trigger level
give cryoprecipitate
2 pools

Question 6

how much miso do you give in PPH, and how do you give it?

Answer 6

800 mcg
sublingually!
or rectally

Question 7

maximum frequency and number of doses of IM carboprost

Answer 7

15 minutes
8 doses total

Question 8

what is the dose of ergo?

Answer 8

500 micrograms

Question 9

timing of standard uterotonics

Answer 9

should be given immediately after the birth of the baby
and before the cord is clamped and cut