Bleeding

Question 1

name 4 hereditary conditions that inc bleeding

Answer 1

haemophilia - 8 and 9
factor 13
VW disease
Ehler’s Danlos Syndrome

Question 2

name 2 haematological malignancies that inc bleeding

Answer 2

lymphoma
leukaemia

Question 3

read list of acquired conditions that inc bleeding

Question 4

list anticoags

Answer 4

coumarins - warfirin
heparin - (-parin) long term use can lead to platelet disorders
non-vit K (NOAC)

Question 5

what 4 things can be given to reverse warfirin effect?

Answer 5

vit K
fresh frozen plasma
prothrombin complex
recomb. factor 7a

Question 6

what must INR be for procedure to be carried out?

Answer 6

INR must be <4
can’t do procedure if INR >4

Question 7

what is primary, reactionary and secondary bleeding?

Answer 7

primary = intra-operative (prolonged suggests platelet deficit)
reactionary = 2-3 hrs post op once LA wears off
secondary = up to 14 days post op, likely due to infection

Question 8

how long is considered normal bleeding post op?

Answer 8

2-5 mins

Question 9

list some haemostatic agents

Answer 9

gelatin
collagen
cellulose
adhesives
topical thrombin
antifibrinolytics - tranexamic acids

Question 10

when to refer pt?

Answer 10

ongoing severe haemorrhage
reached extent of capabilities
dec BP (100/60) and inc HR (>100bpm)

Question 11

what is a haematoma? when can they occur in dentistry?

Answer 11

soft tissue swelling from vascular damage
XLA of upper 8s - causes swelling into buccal space