Our second #BSHTIP session of the day was more on transfusion indications. Cannot tweet this enough times...
hospital.blood.co.uk/media/28629/16…
In thrombocytopenia, ask WHY is the platelet count low? HOW can I correct it?
Is the patient at higher risk of harm from possibility of bleeding than risk of platelet transfusion? Usually the answer is 'no'.... #blooducation #BSHTIP
In ITP, platelets only indicated if the patient has severe haemorrhage. Correct treatment is steroids, or if plt >20-30, leave well alone! #blooducation #BSHTIP
In liver disease, there is a balanced reduction in procoagulant and anticoagulant factors. Often bleeding risk is not increased despite rising PT. Plasma transfusion not indicated in absence of bleeding or imminent procedure #BSHTIP
Especially important in liver disease as liver failure = high risk of TACO. Plasma dose if required = 15-30 ml/kg i.e. 1-2 litres #BSHTIP
Great summary article on haemostasis in liver disease here
asheducationbook.hematologylibrary.org/content/2015/1…
#blooducation
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