Which of the following factors affect ACTs level of a patient receiving ECMO? 1. Hypothermia 2. Thrombocytopenia 3. Anemia 4. Hypofibrinogenemia
a. 1 and 3 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4
ANS: D
The ACT can be affected by many factors including anemia, hypofibrinogenemia, hypothermia, hemodilution, thrombocytopenia, qualitative platelet abnormality, and other coagulation factor deficiencies.
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 FIGURE 1.png)
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