High-Yield Blood Transfusion Information – Step 2 CK exam

by / Sunday, 13 June 2010 / Published in Internal Medicine

The following are high-yield and there is often at least one question that will require your knowledge of which intervention to use in certain situations on the Step 2 CK exam

Packed Red Blood Cells (PRBC)

Contain no platelets or clotting factors

Each unit raises the hematocrit 3-4 points

Can mix with normal saline for faster infusion

Fresh Frozen Plasma (FFP)

Contains all the clotting factors

Does not contain any RBC/WBC/PLT

Given when there is a high PT/PTT, presence of a coagulopathy,

or a deficiency of clotting factors

Can be given when waiting for vitamin K to work

Always do a follow up PT/PTT

Cryoprecipitate

Contains factor VIII and fibrinogen

Given for hemophilia A, DIC, and vWD

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