Category: General Surgery

Upper GI Bleed (UGIB)

Not normally difficult to spot, but look for it in unexplained anaemia, or collapse.

Questions

  • Is it VARICEAL? Mortality 35%, so is an emergency whatever the GBS is.
  • Non-Variceal what’s the GBS? will help guide treatment

Anyone being admitted should be brought to HRI

Emergency Endoscopy is arranged by Med Reg

PDF:gi bleed

 

Search: Gastrointestinal bleed

Octaplex – work fast its an EMERGENCY!

In recent incidents we have had significant delays in giving OCTAPLEX. So  we have developed this advice.

  • Activate EARLY in head injury patients on warfarin.
  • Order on EPR & Paper [see below]
    • Infuse over no more than 30 min
    • Recheck INR at 30 min after finished infusion

PDF:octaplex

 

Prescribing Octaplex on EPR

  • Requests & Care Plans OR Quick Orders
  • Search: Blood Components
  • Coag Factors select YES 
  • Coag Factor product and units free text Octaplex & Dose
  • Complete ALL mandatory fields
  • To collect & give Octaplex the [Paper] Transfusion Care Pathway  must also be completed

UNSURE if your patient has received OCTAPLEX DON’T ASSUME. Check transfusion have dispensed it!