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Thromboelastography: A Practice Summary for Nurse Practitioners Treating Hemorrhage

机译:血栓弹力图:治疗出血的护士从业者实践总结

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摘要

Nurse practitioners may manage patients with coagulopathic bleeding which can lead to life-threatening hemorrhage. Routine plasma-based tests such as prothrombin time and activated partial thromboplastin time are inadequate in diagnosing hemorrhagic coagulopathy. Indiscriminate administration of fresh frozen plasma, platelets or cryoprecipitate for coagulopathic states can be extremely dangerous. The qualitative analysis that thromboelastography provides can facilitate the administration of the right blood product, at the right time, thereby permitting the application of goal-directed therapy for coagulopathic intervention application and patient survival.
机译:执业护士可能会治疗凝结性出血患者,这可能会危及生命。基于血浆的常规检查(例如凝血酶原时间和活化的部分凝血活酶时间)不足以诊断出血性凝血病。对于凝血病状态,不加选择地给予新鲜的冷冻血浆,血小板或冷沉淀可能非常危险。血栓弹力图提供的定性分析可以在正确的时间促进正确血液产品的给药,从而允许针对凝血病干预应用和患者生存的目标导向疗法的应用。

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