Transcription of 090331 Summary bleeding guidelines - palliativedrugs.com
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090331 Summary bleeding guidelines - palliativedrugs.com
Yorkshire Palliative Medicine Clinical guidelines Group guidelines on the management of bleeding for palliative care patients with cancer - Summary January 2009. C:\Sarah\work\ \website updates\Donated documents\word format\ Patient bleeding Apply External Is patient dying haemostatic bleeding from a massive dressing evident? haemorrhage? Record pulse, lying and standing BP. See management of Obtain IV access and request sudden catastrophic FBC, clotting screen, G+S haemorrhage blood and U+Es Review drugs chart - See Appendix 3. Treat any underlying coagulopathy - See Appendices 1 & 2. Consider infection as contributory cause and send cultures for sensitivities. Consider empirical antibiotics in mean time bleeding confined to a particular Generalised bleeding from anatomical site? - multiple sites? See site specific guidance Consider underlying coagulopathy Decide on appropriateness of escalation of treatment and preferred place of care in event of deterioration Document plan in notes, communicate with other professionals and review plan regularly C:\Sarah\work\ \website updates\Donated documents\word format\ Summary of recommendations 1.
C:\Sarah\work\pd.com\website updates\Donated documents\word format\090331_Summary_bleeding_guidelines.doc Yorkshire Palliative Medicine Clinical Guidelines Group Guidelines on the management of bleeding for palliative care patients with cancer - summary January 2009
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