Protocols - Hemorio
Protocols - Hemorio
Protocols - Hemorio
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TABLE 3: TREATMENT OF HEMOPHILIAS<br />
TYPE OF<br />
HEMORRHAGIA<br />
Superficial wound<br />
Deep wound<br />
Epistaxis<br />
Large muscular<br />
hematoma<br />
FVIII<br />
% IU %<br />
FIX<br />
IU<br />
FREQUENCY (h)<br />
FVIII FIX<br />
DURA<br />
TION<br />
(days)<br />
GENERAL MEASURES<br />
Compressive curative<br />
- - - - - - - Gelfoan + Ice on site<br />
40 20 40 40 24/24 24/24 2 a 3 Suture<br />
Antifibrinolytic<br />
30<br />
15<br />
30<br />
65<br />
30<br />
24/24<br />
24/24<br />
1<br />
repeat<br />
I/N<br />
Antibiotics<br />
bilateral nasal pressure<br />
Tamponage with glove<br />
finger<br />
Antifibrinolytic<br />
ORL Opinion<br />
Ecchymosis - - - - - - - Ice on site<br />
Superficial hematoma - - - - - - - Ice on site<br />
Small muscular<br />
hematoma<br />
30 15 30 30 24/24 24/24 2 to 3<br />
Ice on site<br />
Immobilization<br />
40-50 20-25 40-50 40-50 24/24 24/24 3 to 5<br />
Ice on site<br />
Immobilization<br />
Large muscular<br />
hematoma / risk sites /<br />
neurological<br />
impairment<br />
Hemarthrosis (early<br />
treatment or small<br />
volume)<br />
Hemarthrosis (late or<br />
volume treatment), hip,<br />
shoulder or target<br />
articulation<br />
hemarthrosis)<br />
Hematuria<br />
80-100 40-50 80-100 80-100 1 st dose 1 st dose 3 to 7 Ice on site<br />
50% 1 st<br />
dose<br />
50% 1 st<br />
dose<br />
50% 1 st<br />
dose<br />
50% 1 st<br />
dose<br />
12/12 12/12 Until<br />
recove<br />
ry<br />
40 20 40 40 24/24 24/24 1-3<br />
40 – 50 20 - 25 40 - 50 40 - 50 12/12 24/24 3-5<br />
30 15 30 30 DU DU<br />
Repea<br />
t I/N<br />
Immobilization<br />
Physiotherapy<br />
Bed rest<br />
Ice on site<br />
Oral hydration<br />
Etiology investigation<br />
DO NOT USE<br />
ANTIFIBRINOLYTIC<br />
Hemoptysis severe<br />
cases<br />
50 25 50 50 1st dose 1st 50% 1<br />
dose<br />
st<br />
dose<br />
50% 1st dose<br />
50% 1st dose<br />
50% 1st dose<br />
24/24 24/24 3 -5<br />
High or low digestive<br />
hemorrhage<br />
80-100 40-50 80-100 80-100 1st dose 1st 50% 1<br />
dose Until 3 Antifibrinolytic<br />
Hemostatic packed<br />
Endoscopy<br />
st<br />
dose<br />
50% 1st dose<br />
50% 1st dose<br />
50% 1st dose<br />
12/12 12/12 After<br />
resolv<br />
ed<br />
Daily neurological<br />
Mild CET 50 25 50 50 24/24 24/24 3-5 evaluation + TCC<br />
100 50 100 100 1<br />
Severe CET without<br />
neurological change<br />
st dose 1st Daily neurological<br />
dose evaluation<br />
50% 1<br />
14<br />
Minimum level 2/2d<br />
Bed rest<br />
DO NOT USE<br />
ANTIFIBRINOLYTIC<br />
st<br />
dose<br />
50% 1st dose<br />
50% 1st dose<br />
50% 1st dose<br />
12/12 24/24
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