Appendix Algorithm for Abnormal Uterine Bleeding
* adult with submucous fibroids * adult taking anticoagulants No 1. Premarin 25 mg IV q4h x 24h + Phenergan 25 mg PO or IM or PR. 2. D&C if no response after 2 doses of Premarin. 3. Transfuse 2 units packed RBC if hemoglobin < 7.5 gm/dL 4. Simultaneous with IV Premarin, start OCP (Box 2) (e.g.,
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