Bleeding treatments: Difference between revisions
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#PPI/Pepcid/Octreotide (GI) | #PPI/Pepcid/Octreotide (GI) | ||
== | ==Vitamin K Deficiency== | ||
#FFP | #FFP | ||
#Vitamin K (+/- takes 24hrs to affect & 2wk to wear off) | #Vitamin K (+/- takes 24hrs to affect & 2wk to wear off) | ||
==Warfarin== | |||
*See [[Warfarin (Coumadin) Reversal]] | |||
==Heparin/Lovenox== | ==Heparin/Lovenox== | ||
Revision as of 22:28, 17 December 2011
Treatments
- pRBCs
- DDAVP 0.3mg/kg subQ or IV (max 20mg)
- Platelets
- FFP
- Cryopreticipate
- Vitamin K (10mg SQ/IM)
- Protamine (Heparin)
- Estrogen (Uterine, renal)
- PPI/Pepcid/Octreotide (GI)
Vitamin K Deficiency
- FFP
- Vitamin K (+/- takes 24hrs to affect & 2wk to wear off)
Warfarin
Heparin/Lovenox
- Protamie (1mg IV Q100 U of heparin in previous 4hrs)
- Massive bleed --> cryoprecipitate (10 U IV), then FFP (& platelets, aminocaproic acid infusion if nec)
Liver Disease
Renal Disease
DIC
See DIC
Factor VIII Inhibitor
(PTT does not correct after mixing)
- high dose Factor VII, prothrombin, or recombinant factor VIIa
Lupus Anticoagulant
(rare)
- warfarin or ASA
See Also
Source
1/22/06 DONALDSON (adapted from Tintinalli's)