Transfusion Medicine

Case 128

562 Comments
1. Prepared by Victoria Costa, MD and reviewed by Liz Crowe, MD, PhD.

You are covering the blood bank pager, and an OB-GYN resident pages you about a mother who recently delivered a baby and who is having postpartum hemorrhage. They have started transfusing her, but she reports pain at the infusion site and slight chills. The OB-GYN resident wants to know how their team should proceed.

 

562 thoughts on “Case 128”

  1. يسهل العثور على بعض التسريبات والعثور عليها ، بينما يحتاج البعض الآخر إلى متخصص للعثور عليها وإصلاحها
    في حالة خزان المياه ، يتم إجراء فحص التسرب عن طريق توصيل صمام الكشف بالفلتر مباشرة
    في حالة المرحاض ، يتم الكشف عن ذلك عن طريق إزالة الجزء العلوي من الخزان والاستماع إلى التسرب لتحديد موقعه
    كشف تسربات المياه عن طريق فحص صمامات المياه في منزلك. عادة ما يحتوي كل منزل على صمام مياه في بداية الأنبوب ونهايته. ما عليك سوى العثور على الصمام والاستماع بعناية لصوت الصفير لتحديده. هل توجد تسريبات؟
    غالبًا ما يتم اكتشاف التسريبات الكبيرة أو مجموعات التسريبات الصغيرة بواسطة عدادات المياه
    يمكنك استخدام عداد المياه الخاص بك لإجراء فحص بسيط للتسرب باتباع الخطوات التالية
    أولاً ، تأكد من إيقاف تشغيل وإغلاق جميع المياه داخل المنزل وخارجه ، ويتم إجراء هذا الاختبار باستخدام أجهزة الكشف التلقائي مثل أجهزة التحكم في الري وغسالات الملابس وغسالات الصحون مطفأة
    يتم تسجيل قراءات عداد المياه كل 15 دقيقة لضمان عدم التغيير وعدم استخدام المياه خلال هذا الوقت ويتم تسجيل القراءات مرة أخرى
    إذا كان العداد يسجل استخدام المياه أثناء الاختبار ، فقد يكون السبب هو التسرب
    تأكد من عدم استخدام المياه في الأجهزة الصغيرة مثل أجهزة تنقية المياه أو أجهزة تنقية المياه أو أجهزة ترطيب المنزل بالكامل
    يهدف هذا الاختبار إلى تأكيد وجود تسربات مرئية كبيرة تؤثر بشدة على قراءة العداد ولكنها غير صالحة للاستعمال وغير مجدية للتسربات الصغيرة في المنزل ولا تشير إلى مكان التسرب وتتطلب شركة محترفة للكشف وتحديد مكان التسرب

    كشف تسربات المياه بجازان

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