Management principles 1

• Make the correct diagnosis.

• Stop or avoid drugs affecting the haemostatic system.

• Control bleeding episodes with appropriate drugs, blood products and local measures such as simple compression or topical haemostatic agents.

• Infuse appropriate blood components for the treatment of coagulation factor deficiencies and some platelet disorders, e.g. factor VIII for haemophilia A; fresh frozen plasma for multiple factor deficiency.

• Refer patients with identified defects to a consultant haematologist or haemophilia centre.

• Supervise advanced planning in patients seeking pregnancy, surgery or dental extraction.

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