ROTEM

Question 1

Products for prolonged Extem clotting time

normal 38 - 79 seconds

Answer 1

Fresh frozen plasma

Question 2

Products for Fibtem A5 < 9mm

Answer 2

Fibrinogen or cyroprecipitate

Question 3

Products for Extem A5< 35mm

Answer 3

platelets

Question 4

Products for Maximum lysis > 15%

Answer 4

Tranexamic acid

Question 5

The bottom fibtem suggest the patient needs what products?

Answer 5

Fibrinogen or cyroprecipitate

Question 6

The EXTEM on the right needs what products replaced?

Answer 6

Fresh frozen plasma

Question 7

This patient needs what products?

Answer 7

Tranexamic acid

Question 8

What do these pathways looks at
Extem
Fibtem
Intem

Answer 8

Extem = extrinsic pathway
Fibtem = fibrinogen
Intem = intrinsic pathway

Question 9

What does clotting time mean?

Answer 9

time for clot to start forming

Prolonged clotting team = clotting factor deficency. Is 38 - 78 seconds. Give FFP

Question 10

What does the A5 mean?

Answer 10

amplitude at 5 minutes

Can look at the A5 in the Extem and Fibtem
< 35mm in Extem = platelets
< 9mm iun Fibtem = fibrinogen

Question 11

What does maximum lysis mean?

Answer 11

Amplitude of clot at 60 min. Looks at clot stability

> 15% breakdown = hyperfibrinolysis = need for Txa

Question 12

A pt has a Extem A5 < 35mm and a fibtem CT > 600s. This is an early indicated of need for what?

Answer 12

Tranexamic acid

Waiting from Fibtem or extem ML will take an hour - too long

Question 13

Answer 13