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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Characterization of Leukocyte-platelet Rich Fibrin, A Novel Biomaterial
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Approach to the Patient with Bleeding.

Megan Chaigneau1, Paula D James1

  • 1Department of Medicine, Queen's University, Room 2015, Etherington Hall, 94 Stuart Street, Kingston, Ontario K7L 3N6, Canada.

Hematology/Oncology Clinics of North America
|September 18, 2021
PubMed
Summary

A thorough patient history and bleeding assessment are crucial for evaluating bleeding disorders. Laboratory tests are used to determine the cause of bleeding when initial assessments are inconclusive.

Keywords:
Bleeding assessment tool (BAT)Bleeding scoreHemophiliaPlatelet function disorder (PFD)Von Willebrand disease (VWD)

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Area of Science:

  • Hematology
  • Clinical Diagnostics

Background:

  • Bleeding disorders require careful patient evaluation.
  • Accurate diagnosis is essential for effective management.

Purpose of the Study:

  • To outline a systematic approach for diagnosing bleeding disorders.
  • To emphasize the importance of patient history and bleeding assessment tools.

Main Methods:

  • Detailed bleeding, medical, and family history collection.
  • Utilizing a standardized Bleeding Assessment Tool.
  • Implementing a tiered approach to laboratory investigations (first-line, second-line, third-line).

Main Results:

  • A comprehensive bleeding history and score help determine bleeding severity.
  • The approach guides clinicians in selecting appropriate diagnostic tests.
  • Identifies normal or abnormal bleeding tendencies.

Conclusions:

  • A structured approach combining history, assessment tools, and tiered laboratory testing is effective for diagnosing bleeding disorders.
  • This methodology aids in identifying the nature and severity of bleeding conditions.