| Literature DB >> 26273234 |
Eliezer Bose1, Marilyn Hravnak1.
Abstract
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.Entities:
Keywords: Thromboelastography; coagulopathy; fibrinolysis; hemorrhage; thromboelastogram; thromboelastometry; trauma; viscoelastic testing
Year: 2015 PMID: 26273234 PMCID: PMC4528385 DOI: 10.1016/j.nurpra.2015.05.006
Source DB: PubMed Journal: J Nurse Pract ISSN: 1555-4155 Impact factor: 0.767