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Question
good stewardship of blood resources involves which of the following strategies. select best answer transfusing platelets prior to an invasive abdominal procedure when the platelet count is 60 x 109 and the patient is not bleeding. transfusing a unit of ffp because the patient received a unit of prbc transfusing 1 unit of rbcs at a time and reassess using standing lab orders
Good blood resource stewardship involves appropriate use of blood products. Transfusing platelets prior to an invasive abdominal procedure when platelet count is 60 x 10⁹ (and patient not bleeding) is unnecessary as the threshold for non - bleeding, invasive procedures is generally lower (often around 50 x 10⁹ for some, but 60 is close and not bleeding doesn't warrant transfusion). Transfusing FFP just because PRBC was given is inappropriate (FFP is for specific coagulation issues, not as a routine after PRBC). Transfusing 1 unit of RBCs at a time and reassessing is good stewardship as it avoids over - transfusion and allows evaluation of response. Using standing lab orders may lead to unnecessary testing/transfusions. So the correct option is "Transfusing 1 unit of RBCs at a time and reassess".
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Transfusing 1 unit of RBCs at a time and reassess