Revista Colombiana de Obstetricia y Ginecología Vol. 55 No.2 Departamento de Ginecología y Obstetricia. Uni- . Shock hipovolémico que no mejora con el. Title: exposicion de Shock hipovolémico en Obstetricia, Author: DR. PPACH, Name: exposicion de Shock hipovolémico en Obstetricia, Length. El shock en obstetricia shock hipovolemico by Ruben Bucheli Teran 1 edition published in in Spanish and held by 1 WorldCat member library worldwide.


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If possible, a platelet count should be obtained before transfusion of platelets in a bleeding patient, and a test of platelet function should be done in patients with suspected or drug- induced platelet dysfunction e.

Platelet transfusion may shock hipovolemico en obstetricia indicated despite an apparently adequate platelet count if there is known or suspected platelet dysfunction e. When the platelet count cannot be done in a timely fashion in the presence of excessive microvascular bleeding i.

Shock Hipovolйmico en Obstetricia. - PowerPoint PPT Presentation

When thrombocytopenia is due to increased platelet destruction e. Crit Care Med ; Transfusion of fresh frozen plasma.

If possible, coagulation tests i. FFP transfusion is indicated for 1 cor- rection of shock hipovolemico en obstetricia microvascular bleeding i.

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FFP is not indicated solely for augmentation of plasma volume or albumin con- centration. If possible, a fi- brinogen concentration should be obtained before the ad- ministration shock hipovolemico en obstetricia cryoprecipitate in a bleeding patient.


Bleeding patients with von Willebrand dis- ease should be treated with specific concentrates if avail- able. If concentrates are not available, cryoprecipitate is indicated.

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Each unit of cryoprecipitate contains — mg fibrinogen. Therefore, it should be noted that each unit of FFP delivers the equivalent amount of fibrinogen as 2 units cryoprecipitate.

Periodically check for signs and symptoms of bacterial contamination, TRALI, and hemo- lytic transfusion reactions, including urticaria, hypoten- sion, tachycardia, increased peak shock hipovolemico en obstetricia pressure, hyper- thermia, decreased urine output, hemoglobinuria, and microvascular bleeding.

Before instituting therapy for transfusion reactions, stop the blood transfusion and order appropriate diagnostic testing.