Shock and trauma

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Author:
kevinkuczma
ID:
256649
Filename:
Shock and trauma
Updated:
2014-01-28 18:28:00
Tags:
pam104
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Description:
shock and trauma
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  1. Plasma Protein Fraction (Plasmanate)
    Class
    Protein colloid
  2. Plasma Protein Fraction (Plasmanate)
    Action
    Plasma volume expander
  3. Plasma Protein Fraction (Plasmanate)
    Indication
    Hypovolemic states (especially burn shock)
  4. Plasma Protein Fraction (Plasmanate)
    Contraindication
    none when used in the management of life threatening situations
  5. Plasma Protein Fraction (Plasmanate)
    Precautions
    • Hypertension
    • Short Shelf life
  6. Plasma Protein Fraction (Plasmanate)
    Side effects
    Edema
  7. Plasma Protein Fraction (Plasmanate)
    Dosage
    Dosage should be titrated according to patient's hydrodynamic response; follow accepted resuscitation formulas in the management of burn shock 

    Adult: 250-500 ml (12.5-25 g protein) not to exceed 10 ml/min
  8. Plasma Protein Fraction (Plasmanate)
    Route
    IV infusion
  9. Plasma Protein Fraction (Plasmanate)
    Pediatric Dosage
    10-30 ml/kg at 5-10 ml/min
  10. Dextran
    Class
    Imitation protein (sugar) colloid
  11. Dextran
    action
    plasma volume expander
  12. Dextran
    indication
    hypovolemic shock
  13. Dextran
    contraindication
    • pt with know hypersensitivity to the med
    • chf
    • renal failure
    • bleeding disorders
  14. Dextran
    precautions
    • severe anaphylactic reactions have been known to occur
    • monitor for circulatory overload
    • can impede accurate blood typing because Dextran molecule coats the erythrocytes; draw tube of blood for blood typing before administering Dextran
  15. Dextran
    side effects
    • nausea
    • vomiting
    • rash
    • itching
  16. Dextran
    dosage
    • dosage should be titrated according to patient's hemodynamic response
    • 500 ml over 15-30 min
  17. Dextran
    route
    iv
  18. Dextran
    ped dosage
    same as adult

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