Case 3
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Question 1 of 3
1. Question
A 28-year-old woman, 1 week post-partum is being treated for possible pulmonary embolus with 10,000 units of Dalteparin. Approximately 90 minutes after administration she has a major PV bleed with estimated losses of 2-3litres which are ongoing. She feels lousy, lightheaded, and her observations are as follows:
- HR 120 regular, BP 90/40, Resp rate 32, GCS 15
- Saturation 89% on air, and improves to 96% on 15 litres
Examination reveals normal breath and heart sounds, a flat JVP, ongoing PV loss, slightly tender supra-pubic area and cool peripheries.
Which of these initial management steps is not appropriate?
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Question 2 of 3
2. Question
What is the reversal agent of choice for LMWH reversal?
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Question 3 of 3
3. Question
You decide to give her Protamine sulphate as the APTT is150 (APTTr 5.0). Which of the following statements are true about protamine?
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