QUESTION IMAGE
Question
question 2 of 12 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 × 10^9 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
Brief Explanations
To determine the best blood stewardship strategy:
- Analyze each option:
- Transfusing platelets prior to invasive abdominal procedure when platelet count is \( 60 \times 10^9 \) and patient is not bleeding: Generally, platelet transfusion threshold for non - bleeding patients before invasive procedures is often around \( 50\times10^9 - 100\times10^9 \). A count of \( 60\times10^9 \) may not require transfusion if the patient is not bleeding, so this is not a good stewardship strategy.
- Transfusing a unit of FFP because the patient received a unit of pRBC: Fresh Frozen Plasma (FFP) is not routinely given just because a patient received packed Red Blood Cells (pRBC). FFP is used for specific coagulation factor deficiencies, not as a routine after pRBC transfusion.
- Transfusing 1 unit of RBCs at a time and reassess: This is a good blood stewardship practice. By transfusing one unit of red blood cells (RBCs) at a time and then reassessing the patient's condition (such as hemoglobin level, clinical status), we can avoid over - transfusion and use blood resources more efficiently.
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Transfusing 1 unit of RBCs at a time and reassess