vitamin-k-semiquinone-radical and Shock

Because of the firm refusal of transfusion of blood and blood components by Jehovah's Witnesses, the management of Jehovah's Witness patients with severe bleeding is often complicated by medical, ethical, and legal concerns. Because of a rapidly growing and worldwide membership, physicians working in hospitals should be prepared to manage these patients. Appropriate management of a Jehovah's Witness patient with severe bleeding entails understanding of the legal and ethical issues involved, and meticulous medical management, including treatment of hypovolemic shock, local hemostatic interventions, and administration of prohemostatic agents, when appropriate. In addition, high-dose recombinant erythropoietin in combination with supplemental iron may enhance the speed of hemoglobin synthesis.

Topics: Acute Disease; Adult; Antifibrinolytic Agents; Blood Coagulation Disorders; Blood Coagulation Factors; Blood Transfusion; Contraindications; Emergencies; Erythropoietin; Hemorrhage; Hemostatic Techniques; Humans; Informed Consent; Jehovah's Witnesses; Phlebotomy; Recombinant Proteins; Shock; Treatment Refusal; Unconsciousness; Vitamin K

Topics: Age Factors; Anemia; Anticoagulants; Antifibrinolytic Agents; Bacterial Infections; Child; Child, Preschool; Disseminated Intravascular Coagulation; Fibrinolysis; Fibrinolytic Agents; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Kidney Diseases; Leukemia; Purpura; Shock; Virus Diseases; Vitamin K; Wounds and Injuries

Topics: Cardiovascular Agents; Humans; Shock; Vasoplegia; Vitamin K; Vitamins

Topics: Aminocaproic Acid; Blood Transfusion; Deamino Arginine Vasopressin; Edema; Factor VII Deficiency; Factor VIIa; Hemostatics; Humans; Liver Cirrhosis, Alcoholic; Male; Middle Aged; Postoperative Hemorrhage; Recombinant Proteins; Shock; Tooth Extraction; Vitamin K

Topics: Ascorbic Acid; Fructose; Glucose; Humans; Magnesium; Parenteral Nutrition; Phosphates; Postoperative Complications; Potassium; Shock; Sodium; Sorbitol; Vitamin A; Vitamin B Complex; Vitamin D; Vitamin K; Vitamins; Xylitol; Zinc

Topics: Bacterial Infections; Blood Coagulation Tests; Diarrhea, Infantile; Disseminated Intravascular Coagulation; Female; Humans; Hypoprothrombinemias; Hypoxia; Infant; Male; Shock; Virus Diseases; Vitamin K

Topics: Antacids; Anti-Bacterial Agents; Antibiotics, Antitubercular; Cathartics; Diet; Diet Therapy; Gastric Lavage; Gastrointestinal Hemorrhage; Hemorrhage; Hepatic Encephalopathy; Humans; Parasympatholytics; Pituitary Hormones; Pituitary Hormones, Posterior; Rest; Serum Albumin; Shock; Shock, Hemorrhagic; Statistics as Topic; Tranquilizing Agents; Vitamin K; Vitamin K 1; Water-Electrolyte Balance

Topics: Ascorbic Acid; Brain; Capillary Permeability; Cardiovascular System; Flavonoids; Humans; Shock; Vitamin K; Vitamins

Topics: Histamine; Histamine Agents; Humans; Shock; Vitamin A; Vitamin K; Vitamins

Topics: Ascorbic Acid; Dehydroascorbic Acid; Ergocalciferols; Humans; Shock; Urine; Vitamin A; Vitamin D; Vitamin K; Vitamins