Have you been asked to review “TLS” bloods?? Are you concerned the nursing staff are pranking you with haematology bloods that don’t include a FBC or coags? Why could you possibly want to look at something that isn’t a cell count? What crazy person decided after hours bloods needed to be collected on ICE? And WHY ?!?! Join us for an On The Wards approach to dealing with those TDS TLS SOS calls.
TIMESTAMPS:
0:56 - The team breaking stuff 3:40 - Episode overview 5:07 - Setting the scene 6:33 - The history of TLS 7:28 - (nailed it) 8:00 - Pathophysiology of TLS 10:41 - Mechanisms of renal injury in TLS 11:39 - Clinical consequences of TLS 12:46 - Diagnostic criteria in TLS 15:10 - Clinical TLS vs lab TLS 15:35 - Grading TLS 16:55 - Other clues of TLS 18:09 - Who is at risk of TLS? 23:15 - Prevention of TLS 24:27 - Allopurinol 26:58 - Rasburicase 33:03 - Fluids fluids fluids 33:44 - Deciding who gets prophylaxis 35:50 - What ARE TLS bloods? 36:31 - What to do with a TLS on the ward 40:05 - Take home messages
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