Bleeding treatments: Difference between revisions
No edit summary |
No edit summary |
||
| Line 19: | Line 19: | ||
==Liver Disease== | ==Liver Disease== | ||
See [[Coagulation Disorders]] | |||
==Renal Disease== | ==Renal Disease== | ||
See [[Coagulation Disorders]] | |||
==DIC== | ==DIC== | ||
See [[DIC]] | |||
==Factor VIII Inhibitor== | ==Factor VIII Inhibitor== | ||
Revision as of 18:36, 12 October 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)
Warfarin/Vitamin K Deficiency
- FFP
- Vitamin K (+/- takes 24hrs to affect & 2wk to wear off)
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
Source
1/22/06 DONALDSON (adapted from Tintinalli's)