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Hypovolemic shock and blood transfusion intervention
Pages 11 (2761 words)
Name Number School University Professor Date Analysis of Hypovolaemic shock, blood transfusion intervention This paper will analyse the administration of packed red cells transfusion in a patient with hypovolaemic shock arising from severe haemetemesis. The identity of the patient has been changed to Mr.
The hypovolaemic shock has arisen from secondary blood loss from upper GI bleeding (Kolecki, 2010). Mr. Z, 46 years male, presented with typical features of hypovolaemic shock, primarily developing from chronic alcoholism. The patient earlier episodes of epigastric pain and upper GI bleeds and was treated for the same by antiemetic drugs and antacids. Following that episode he was advised against drinking and smoking. In this event, Mr. Z developed nausea 48 hours before the haemetemesis. During the haemetemesis episode he vomited blood 5 times, containing blood coffee brown in colour and from the upper GI. Mr. Z has developed internal bleeding arising from gastric erosion and has developed several features typical of the same mentioned in Appendix 4. Mr. Z was prescribed packed red cells as his haemoglobin count was low and he had to be administered the same to restore the haemoglobin and the clotting factors (look at criteria in Appendix 5). In this case, the rationale for giving blood was that the patient’s haemoglobin levels were only slightly above normal, the blood loss was severe, and the patient’s condition was perceived to be serious. The physicians in this case had to make a close decision, as if the symptoms and the vital sign (especially blood pressure) could be managed effectively, blood transfusion was not needed. ...
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