MTP Basic
The primary goal of MTP is to maintain this physiological state.
What is hemodynamic stability and tissue oxygenation?
One unit of this component is issued for every 6 units of PRBC.
What is Platelets?
This test determines blood compatibility.
What is Group & Screen?
Name one component of the “lethal triad” in massive transfusion.
What is Acidosis, Hypothermia, or Coagulopathy?
This role ensures patient registration and initiates MTP with TML.
Who is the Charge Nurse / Primary RN?
The minimum number of PRBC units anticipated within one hour to trigger MTP.
What is 3 units?
Plasma is primarily used for this purpose during MTP.
What is reversal of anticoagulant effects and clotting factor replacement?
This electrolyte must be closely monitored during massive transfusion.
What is ionized calcium?
Hypocalcemia during MTP is caused by this additive in stored blood.
What is Citrate?
This team member communicates with TML and enters lab orders.
Who is the Communicator (e.g., unit clerk)?
Name one of the lab tests ordered STAT when MTP is activated.
What is Group & Screen, INR/PTT, Fibrinogen, CBC, or Rapid Metabolic Panel?
This blood product should never be warmed during administration.
What is Platelets or Cryoprecipitate?
Calcium chloride is given after every 4 units of PRBC or when this lab value is low.
What is ionized calcium <1.15 mmol/L?
For every 1°C drop in body temperature, coagulation factor activity decreases by this percentage.
What is 10%?
This role retrieves blood components and delivers lab specimens.
Who is the Supply/Equipment Runner?
This ratio of blood components is recommended during massive transfusion.
What is 1:1:1 ratio of PRBC, plasma, and platelets?
This is the recommended temperature for warming blood products during massive transfusion.
What is 37°C?
This temperature threshold defines hypothermia during MTP.
What is <35°C?
The best management of hypothermia during MTP is this.
What is prevention by warming all fluids and using warming devices?
This department tracks issued blood components and maintains a minimum stock of thawed plasma and PRBC during MTP.
What is the Transfusion Medicine Laboratory (TML)?
This medication is given within 3 hours of trauma to prevent clot breakdown.
What is Tranexamic Acid?
Each unit of PRBC typically raises hemoglobin by this amount.
What is ~10 g/L?
Documentation includes this record for blood component checks before administration.
What is the Massive Transfusion Administration Record?
The risk of high potassium levels in the blood (hyperkalemia) increases when this happens to stored blood.
What is longer storage time?
This role ensures all blood products are checked by two staff members before administration and that ratios are maintained throughout the MTP.
Who are the Blood Checkers?