重振大规模输血知识:药剂师的最新情况
Ruben Santiago1, Giles Slocum2, Gina Riggi1
1Jackson Memorial Hospital, Miami, FL, USA.
概括
大规模输血,定义为24小时内10个以上的红细胞单位,是对出血的关键紧急治疗. 临床药剂师在管理其并发症和辅助药物方面发挥着至关重要的作用.
科学领域:
- 关键护理医学 关键护理医学
- 血液学 血液学 血液学
- 临床药房 临床药房
背景情况:
- 出血是创伤伤害的常见并发症,需要血液产品的复苏.
- 对于经历严重出血的患者,通常会实施大规模输血协议.
研究的目的:
- 审查大量输血的指示.
- 详细说明所使用的血液制品的成分和常见比例.
- 概述潜在的并发症和辅助药物,强调临床药剂师的影响.
主要方法:
- 关于大规模输血方案和相关药物治疗的文献综述.
- 定义,指示和并发症的分析.
- 探索药剂师在大规模输血管理中的作用.
主要成果:
- 大规模输血涉及向急性出血患者注射血液制品,通常定义为≥10个红细胞单位/24小时.
- 潜在的并发症包括电解质干扰和心肺反应.
- 补充疗法,如静脉注射和tranexamic 酸可能是适用的.
结论:
- 大规模输血是一种拯救生命的干预,需要精确管理血液制品和潜在的并发症.
- 药剂师是复苏工作的重要组成部分,需要在管理并发症和利用辅助药物治疗方面的专业知识.
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