SlideShare una empresa de Scribd logo
1 de 100
Blood transfusion therapy RENE PSA MENDOZA, MD, MHSA Associate Professor, Department of Surgery FEU-NRMF Institute of Medicine
Functions and Properties of Blood ,[object Object],[object Object],[object Object]
Functions of Blood ,[object Object],[object Object],[object Object],[object Object],[object Object]
Functions of Blood ,[object Object],[object Object],[object Object],[object Object]
Functions of Blood ,[object Object],[object Object],[object Object],[object Object]
Fluid compartments ICF ECF Interstitial  Plasma Capillary Membrane Cell Membrane ~ 15% of  body weight ~ 40% of  body weight ~ 5% of  body weight
Blood volume ,[object Object],~ 5% ~ 2-3% of body weight  +
Banked Whole blood ,[object Object],[object Object],[object Object]
Banked Whole blood ,[object Object],[object Object]
Banked Whole blood ,[object Object],[object Object],[object Object],[object Object]
Changes in rbc  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Changes in rbc ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fresh whole blood ,[object Object],[object Object],[object Object]
Blood Component Therapy ,[object Object],[object Object],[object Object]
Packed red cells ,[object Object],[object Object],[object Object],[object Object],[object Object]
Packed red cells ,[object Object],[object Object],[object Object],[object Object]
Packed red cells ,[object Object],[object Object],[object Object],[object Object]
Packed red cells ,[object Object],[object Object]
Frozen red cells ,[object Object],[object Object],[object Object],[object Object],[object Object]
Platelet concentrates ,[object Object],[object Object],[object Object]
Platelet concentrates ,[object Object],[object Object],[object Object]
Platelet concentrates ,[object Object],[object Object],[object Object],[object Object]
Fresh frozen plasma ,[object Object],[object Object],[object Object]
Fresh Frozen Plasma ,[object Object],[object Object],[object Object],[object Object]
Cryoprecipitated antihemophilic factor ,[object Object],[object Object],[object Object]
Cryoprecipitated antihemophilic factor ,[object Object]
Replacement therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Serologic compatibility
Rh groups ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parameter Class I Class II Class III Class IV blood loss in mL <= 750 mL 750 − 1,500 mL 1,500 − 2,000 mL >= 2,000 mL blood loss as % TBV <= 15% 15 − 30% 30 − 40% >= 40% pulse > 100 > 100 > 120 >= 140 blood pressure normal normal decreased decreased capillary refill normal delayed delayed delayed respirations 14 − 20 20 − 30 30 − 40 > 35 urine output >= 30 mL/h 20 − 30 mL/h 5 − 10 mL/h minimal mental status slightly anxious mildly anxious anxious and confused confused and lethargic
[object Object],[object Object]
Risks from a unit of ordinary red cells ,[object Object],[object Object],[object Object],[object Object]
Transfusion reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion reactions ,[object Object],[object Object],[object Object]
Allergic / urticarial transfusion reactions ,[object Object],[object Object]
Allergic / urticarial transfusion reactions ,[object Object],[object Object],[object Object]
Allergic / urticarial transfusion reactions ,[object Object],[object Object],[object Object]
Hemolytic Reactions ,[object Object],[object Object],[object Object]
Immediate hemolytic transfusion reaction ,[object Object],[object Object],[object Object]
Clinical presentation ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Clinical presentation
Renal toxicity ,[object Object],[object Object]
DIC ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
patient’s identification checked.. ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Laboratory criteria  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Delayed hemolytic transfusion reactions  ,[object Object],[object Object],[object Object]
Delayed hemolytic transfusion reactions ,[object Object],[object Object]
Clinical presentation ,[object Object],[object Object]
Delayed hemolytic transfusion reactions ,[object Object]
Febrile nonhemolytic transfusion reaction ,[object Object],[object Object],[object Object]
Febrile transfusion reactions ,[object Object],[object Object],[object Object]
Bacterial contamination  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial contamination ,[object Object],[object Object],[object Object],[object Object]
Bacterial contamination ,[object Object],[object Object]
Bacterial contamination ,[object Object],[object Object],[object Object]
Transfusion Related Acute Lung Injury (TRALI) ,[object Object],[object Object],[object Object]
Transfusion Related Acute Lung Injury (TRALI) ,[object Object],[object Object],[object Object]
Clinical presentation ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object]
Electrolyte toxicity (i.e., potassium) ,[object Object],[object Object],[object Object]
Hypothermia ,[object Object],[object Object],[object Object]
Overtransfusion  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission of diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission of diseases ,[object Object],[object Object],[object Object],[object Object]
Pathogen Inactivation Technology ,[object Object],[object Object],[object Object]
Pathogen Inactivation Technology ,[object Object]
Pathogen Inactivation Technology
Indications for blood replacement ,[object Object],[object Object],[object Object]
What are the indications for RBC transfusion in the critically ill surgical patient? ,[object Object],[object Object]
..  indications for RBC transfusion  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Volume replacement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood loss of 1L in a healthy adult ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
RBC Infusion   ,[object Object]
Platelet Infusion   ,[object Object]
FFP Infusion   ,[object Object],[object Object]
[object Object]
PACKED RED CELLS ,[object Object],[object Object],[object Object],[object Object]
FRESH FROZEN PLASMA ,[object Object],[object Object],[object Object],[object Object]
PLATELETS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Platelet concentrates ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRYOPRECIPITATE ,[object Object],[object Object],[object Object],[object Object],[object Object]
major indication for whole blood transfusion ,[object Object],[object Object]
Massive transfusion ,[object Object],[object Object],[object Object]
Massive transfusion ,[object Object],[object Object],[object Object],[object Object]
Massive transfusion ,[object Object]
O negative blood ,[object Object],[object Object],[object Object]
O+ blood ,[object Object],[object Object],[object Object]
Massive transfusion complications ,[object Object],[object Object],[object Object]
Massive transfusion complications ,[object Object],[object Object],[object Object],[object Object]
Massive transfusion complications ,[object Object]
Transfusion options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of administering blood ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of administering blood
Special concern ,[object Object],[object Object]
Blood transfusion therapy Raymund AG Ong, MD FPCS FPALES  Department of Surgery FEU-NRMF Medical Center

Más contenido relacionado

La actualidad más candente

Blood components and its uses
Blood components and its usesBlood components and its uses
Blood components and its usesAnish Gupta
 
Blood products and massive blood transfusion
Blood products and massive blood transfusionBlood products and massive blood transfusion
Blood products and massive blood transfusionNaveen Kumar Adepu
 
Blood & Blood Products
Blood & Blood ProductsBlood & Blood Products
Blood & Blood ProductsLaxinys
 
CME-Cryoprecipitate.ppt22mar
CME-Cryoprecipitate.ppt22marCME-Cryoprecipitate.ppt22mar
CME-Cryoprecipitate.ppt22marHwee Yin Wong
 
Use of blood components in clinical practice - Part 2
Use of blood components in clinical practice - Part 2Use of blood components in clinical practice - Part 2
Use of blood components in clinical practice - Part 2Dr. Varughese George
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionKIMS
 
Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...prasanna lakshmi sangineni
 
platelets single and random donors
platelets single and random donors platelets single and random donors
platelets single and random donors sabaataani
 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1Preetam Manoli
 

La actualidad más candente (20)

Blood components and its uses
Blood components and its usesBlood components and its uses
Blood components and its uses
 
Blood products and massive blood transfusion
Blood products and massive blood transfusionBlood products and massive blood transfusion
Blood products and massive blood transfusion
 
Blood & Blood Products
Blood & Blood ProductsBlood & Blood Products
Blood & Blood Products
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Safe Blood Transfusion
Safe Blood TransfusionSafe Blood Transfusion
Safe Blood Transfusion
 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
 
Blood transfusion
Blood  transfusionBlood  transfusion
Blood transfusion
 
CME-Cryoprecipitate.ppt22mar
CME-Cryoprecipitate.ppt22marCME-Cryoprecipitate.ppt22mar
CME-Cryoprecipitate.ppt22mar
 
Use of blood components in clinical practice - Part 2
Use of blood components in clinical practice - Part 2Use of blood components in clinical practice - Part 2
Use of blood components in clinical practice - Part 2
 
Blood component therapy
Blood component therapyBlood component therapy
Blood component therapy
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Blood component therapy part I
Blood component therapy part IBlood component therapy part I
Blood component therapy part I
 
Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...
 
platelets single and random donors
platelets single and random donors platelets single and random donors
platelets single and random donors
 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1
 
Blood components
Blood componentsBlood components
Blood components
 
Fresh frozen plasma
Fresh frozen plasmaFresh frozen plasma
Fresh frozen plasma
 
Transfusion Medicine
Transfusion MedicineTransfusion Medicine
Transfusion Medicine
 

Destacado

Blood transfusion
Blood transfusionBlood transfusion
Blood transfusiondrmcbansal
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusionraj kumar
 
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.comBlood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.comLouie Ray
 
Blood transfusion reactions and complications
Blood transfusion reactions and complicationsBlood transfusion reactions and complications
Blood transfusion reactions and complicationsSCGH ED CME
 
Blood transfusion skills
Blood transfusion skillsBlood transfusion skills
Blood transfusion skillsCarmina Gurrea
 
Indications and complications of blood transfusion
Indications and complications of blood transfusion Indications and complications of blood transfusion
Indications and complications of blood transfusion abhimanyu_ganguly
 
COMPLICATIONS OF BLOOD TRANSFUSION
COMPLICATIONS OF BLOOD TRANSFUSIONCOMPLICATIONS OF BLOOD TRANSFUSION
COMPLICATIONS OF BLOOD TRANSFUSIONGSL medical college
 
Capnography
CapnographyCapnography
Capnographylarryide
 
Platelets physiology
Platelets physiologyPlatelets physiology
Platelets physiologyIIDC
 
Allergy Power Point Presentation
Allergy Power Point PresentationAllergy Power Point Presentation
Allergy Power Point Presentationguestc513e4b
 

Destacado (20)

Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Wardclass powerpoint blood transfusion
Wardclass powerpoint blood transfusionWardclass powerpoint blood transfusion
Wardclass powerpoint blood transfusion
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusion
 
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.comBlood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com
Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com
 
Blood transfusion reactions and complications
Blood transfusion reactions and complicationsBlood transfusion reactions and complications
Blood transfusion reactions and complications
 
Blood transfusion skills
Blood transfusion skillsBlood transfusion skills
Blood transfusion skills
 
Physiology of platelets
Physiology of plateletsPhysiology of platelets
Physiology of platelets
 
Capnography
CapnographyCapnography
Capnography
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Indications and complications of blood transfusion
Indications and complications of blood transfusion Indications and complications of blood transfusion
Indications and complications of blood transfusion
 
COMPLICATIONS OF BLOOD TRANSFUSION
COMPLICATIONS OF BLOOD TRANSFUSIONCOMPLICATIONS OF BLOOD TRANSFUSION
COMPLICATIONS OF BLOOD TRANSFUSION
 
Blood transfusion
Blood transfusion   Blood transfusion
Blood transfusion
 
Capnography
CapnographyCapnography
Capnography
 
Capnography
Capnography Capnography
Capnography
 
Platelets physiology
Platelets physiologyPlatelets physiology
Platelets physiology
 
PLATELETS
PLATELETSPLATELETS
PLATELETS
 
Blood and blood transfusions
Blood and blood transfusionsBlood and blood transfusions
Blood and blood transfusions
 
Platelets
PlateletsPlatelets
Platelets
 
Allergy Power Point Presentation
Allergy Power Point PresentationAllergy Power Point Presentation
Allergy Power Point Presentation
 

Similar a Blood Transfusion

5thsembloodtransfusion
5thsembloodtransfusion5thsembloodtransfusion
5thsembloodtransfusionTanuj Bhatia
 
Blood components and transfusion reactions
Blood components and transfusion reactions Blood components and transfusion reactions
Blood components and transfusion reactions Muhammad Asim Rana
 
blood transfusion nigat.pptx
blood transfusion  nigat.pptxblood transfusion  nigat.pptx
blood transfusion nigat.pptxnigatendalamaw2
 
Updates on blood transfusion
Updates on blood transfusion Updates on blood transfusion
Updates on blood transfusion Anwar Yusr
 
Fluids
Fluids		Fluids
Fluids Khalid
 
Blood & blood products
Blood & blood productsBlood & blood products
Blood & blood productsLaxinys
 
Blood & blood products
Blood & blood productsBlood & blood products
Blood & blood productsLaxinys
 
Blood transfusion 2.pdf
Blood transfusion 2.pdfBlood transfusion 2.pdf
Blood transfusion 2.pdfMohammadBakari
 
Shock and Blood Transfusion
Shock and Blood TransfusionShock and Blood Transfusion
Shock and Blood TransfusionOsman Altohamy
 
Blood tansfusion in animals
Blood tansfusion in animalsBlood tansfusion in animals
Blood tansfusion in animalsMutahirRehman
 
Blood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowBlood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowMuhammad Akram
 
Girnita DM Blood Transfusions
Girnita DM Blood TransfusionsGirnita DM Blood Transfusions
Girnita DM Blood TransfusionsDiana Girnita
 
Blood and its components
Blood and its componentsBlood and its components
Blood and its componentsManu Gupta
 
Tranfusion therapy 2012
Tranfusion therapy 2012Tranfusion therapy 2012
Tranfusion therapy 2012mostafa hegazy
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion Khalid
 

Similar a Blood Transfusion (20)

5thsembloodtransfusion
5thsembloodtransfusion5thsembloodtransfusion
5thsembloodtransfusion
 
Blood components and transfusion reactions
Blood components and transfusion reactions Blood components and transfusion reactions
Blood components and transfusion reactions
 
blood transfusion nigat.pptx
blood transfusion  nigat.pptxblood transfusion  nigat.pptx
blood transfusion nigat.pptx
 
Updates on blood transfusion
Updates on blood transfusion Updates on blood transfusion
Updates on blood transfusion
 
Fluids
Fluids		Fluids
Fluids
 
ABT.pptx
ABT.pptxABT.pptx
ABT.pptx
 
Blood & blood products
Blood & blood productsBlood & blood products
Blood & blood products
 
Blood & blood products
Blood & blood productsBlood & blood products
Blood & blood products
 
Transfusion Therapy
Transfusion TherapyTransfusion Therapy
Transfusion Therapy
 
Blood transfusion 2.pdf
Blood transfusion 2.pdfBlood transfusion 2.pdf
Blood transfusion 2.pdf
 
Shock and Blood Transfusion
Shock and Blood TransfusionShock and Blood Transfusion
Shock and Blood Transfusion
 
Blood bank
Blood bankBlood bank
Blood bank
 
Blood tansfusion in animals
Blood tansfusion in animalsBlood tansfusion in animals
Blood tansfusion in animals
 
Blood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowBlood component transfusion in criticalcare now
Blood component transfusion in criticalcare now
 
Girnita DM Blood Transfusions
Girnita DM Blood TransfusionsGirnita DM Blood Transfusions
Girnita DM Blood Transfusions
 
Blood and its components
Blood and its componentsBlood and its components
Blood and its components
 
Tranfusion therapy 2012
Tranfusion therapy 2012Tranfusion therapy 2012
Tranfusion therapy 2012
 
Blood transfusion 1
Blood transfusion 1Blood transfusion 1
Blood transfusion 1
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion
 
Dr. rasel cme final
Dr. rasel cme   finalDr. rasel cme   final
Dr. rasel cme final
 

Más de MD Specialclass

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...MD Specialclass
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionMD Specialclass
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headachesMD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL MD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL MD Specialclass
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinomaMD Specialclass
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disordersMD Specialclass
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitisMD Specialclass
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosisMD Specialclass
 

Más de MD Specialclass (20)

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutrition
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headaches
 
Acute brain attack 911
Acute brain attack  911Acute brain attack  911
Acute brain attack 911
 
Hema intro anemia
Hema intro anemiaHema intro anemia
Hema intro anemia
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
Fever & id diet final
Fever & id diet finalFever & id diet final
Fever & id diet final
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Thyroid
ThyroidThyroid
Thyroid
 
Dermatology dr.n.ramos
Dermatology   dr.n.ramosDermatology   dr.n.ramos
Dermatology dr.n.ramos
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
 
Liver disease
Liver diseaseLiver disease
Liver disease
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
 

Blood Transfusion

  • 1. Blood transfusion therapy RENE PSA MENDOZA, MD, MHSA Associate Professor, Department of Surgery FEU-NRMF Institute of Medicine
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Fluid compartments ICF ECF Interstitial Plasma Capillary Membrane Cell Membrane ~ 15% of body weight ~ 40% of body weight ~ 5% of body weight
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 29.
  • 30.
  • 31.
  • 32. Parameter Class I Class II Class III Class IV blood loss in mL <= 750 mL 750 − 1,500 mL 1,500 − 2,000 mL >= 2,000 mL blood loss as % TBV <= 15% 15 − 30% 30 − 40% >= 40% pulse > 100 > 100 > 120 >= 140 blood pressure normal normal decreased decreased capillary refill normal delayed delayed delayed respirations 14 − 20 20 − 30 30 − 40 > 35 urine output >= 30 mL/h 20 − 30 mL/h 5 − 10 mL/h minimal mental status slightly anxious mildly anxious anxious and confused confused and lethargic
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97.
  • 99.
  • 100. Blood transfusion therapy Raymund AG Ong, MD FPCS FPALES Department of Surgery FEU-NRMF Medical Center