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.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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