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Internistična krvavitev - prikaz primeraHudournik, BarbaraKrvavitve pri kritično bolnih internističnih bolnikih so običajno povzročene z več dejavniki. V primeru življenje ogrožajoče krvavitve je potrebno podporno zdravljenje z nadomeščanjem krvnih ... komponent, manjkajočih faktorjev koagulacije in uporaba nekaterih zdravil, ki se vpletajo v koagulacijsko kaskado. Za nekatera antikoagulantna zdravila imamo na voljo specifične antidote. Za vodenje terapije uporabljamo laboratorijsko diagnostiko, ki vključuje krvno sliko, standardne teste koagulacije, nivo nekaterih koagulacijskih faktorjev ter antikoagulantnih zdravil, ter rotacijsko trombelastometrijo (ROTEM). V prispevku predstavljam primer življenje ogrožajoče krvavitve pri bolniku na antikoagulantnem zdravljenju, pri katerem je prišlo do septičnega šoka, ledvične in jetrne odpovedi, postavili pa smo mu tudi diagnozo malignega obolenja.Source: Šola intenzivne medicine 2018 : 2. letnik : endokrinologija, koagulacija, akutni koronarni sindom z ostalimi srčnimi boleznimi in bolezni respiracijskega sistema : učbenik (Str. 87-90)Type of material - article, component partPublish date - 2018Language - slovenianCOBISS.SI-ID - 878499
Author
Hudournik, Barbara
Topics
Hemorrhage |
Critical illness |
Krvavitev |
Kritično stanje
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Hudournik, Barbara | ![]() |
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