Transcription of Bleeding - Scottish Palliative Care Guidelines
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Bleeding - Scottish Palliative Care Guidelines
Scottish Palliative care Guidelines Bleeding Copyright 2014 NHS Scotland Page 1 of 5 Issue Date: 31/05/2014 Review Date: 31/05/2017 Bleeding Introduction Haemorrhage (obvious or occult Bleeding ) occurs in 10 to 20% of patients with advanced cancer. Acute haemorrhage is likely to be distressing for the patient, family and staff. Assessment Assess whether it is severe acute Bleeding which is life threatening, or more controllable with specific measures. If the latter, discuss management with appropriate specialist. Also assess whether Bleeding is due to local effects (such as blood vessel invasion) or to systemic effects of disease (such as disseminated intravascular coagulopathy [DIC]). Review the need for drugs that increase risk of Bleeding low molecular weight heparin, aspirin, warfarin, dexamethasone, NSAIDS. Management Anticipatory planning If significant Bleeding can be anticipated, it is usually best to discuss the possibility with the patient and their family.
Scottish Palliative Care Guidelines ‐ Bleeding Copyright © 2014 NHS Scotland Page 3 of 5 Issue Date: 31/05/2014 Review Date: 31/05/2017 Medication Bleeding from ...
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