By rray, 5 January, 2015 Stabilize pt w/ large bore IV (1 or 2), IV fluid bolus, type + X-match, consider clotting factor replacement.
By rray, 5 January, 2015 If med mgmt failed/contraindicated or if severe bleed: treat surgically, factoring pt’s desire for future fertility.
By rray, 5 January, 2015 If s/sx of bleeding disorder,<sup>8</sup> consult hematology; factor replacement may be required for severe hemorrhage. If vWD w/ hx of response to desmopressin,<sup>9</sup> give IN, IV, SQ.