Maybe your Pt doesn't want a transfusion. Here are some alternatives.
Prevent Excessive Blood Loss
Mechanical options
Diathermy (cauterization)
Laser technology
Pharmacological options
Antifibrinolytics ( promote clot stability)
Fibrin sealant (topical)
Hematinics - oral iron therapy and vit. C (raise hemoglobin levels)
Recombinant human erythropoietin ( stims bone marrow to make RBCs)
Re-use Own blood
Autologous transfusions (own blood prestored)
Cell salvage (own blood, salvaged-cleaned-reinfused from surgery)
Plasma Expanders
Colloids- pull fluid from interstitial spaces (dextran)
Crystalloids- 1st choice- help prevent hypovolemia (Dextrose in water, Saline, dextrose in saline, Ringer's, lactated Ringer's)
Artificial Blood
Under research and testing
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