If bleeding persists after initial Arista AH application, what should you do?

If bleeding persists after initial Arista AH application, what should you do?

• A. Terminate procedure.
• B. Reapply in small amounts and employ additional hemostatic measures as needed.
• C. Remove all material and start again.
• D. Ignore and observe.

Answer: (B)

The situation tests how to achieve ongoing hemostasis with an adjacent topical hemostat. If bleeding continues after the first Arista AH application, you would reapply in small amounts and add other hemostatic measures as needed. Arista AH is designed to be layered; placing more material in incremental amounts helps fill the bleeding site and supports clot formation where the initial layer didn’t fully stop the bleed. Along with reapplication, use additional measures such as firm, targeted pressure, and other appropriate techniques (e.g., suction to visualize the area, and, if needed and appropriate, additional methods like cautery or suturing for persistent vessel bleeding). Do not remove the material or ignore ongoing bleeding—the goal is to build up the hemostatic effect until stable clotting is achieved.

The situation tests how to achieve ongoing hemostasis with an adjacent topical hemostat. If bleeding continues after the first Arista AH application, you would reapply in small amounts and add other hemostatic measures as needed. Arista AH is designed to be layered; placing more material in incremental amounts helps fill the bleeding site and supports clot formation where the initial layer didn’t fully stop the bleed. Along with reapplication, use additional measures such as firm, targeted pressure, and other appropriate techniques (e.g., suction to visualize the area, and, if needed and appropriate, additional methods like cautery or suturing for persistent vessel bleeding). Do not remove the material or ignore ongoing bleeding—the goal is to build up the hemostatic effect until stable clotting is achieved.