Impotentie brengt een constant ongemak met zich mee, net als fysieke en psychologische problemen in uw leven cialis kopen terwijl generieke medicijnen al bewezen en geperfectioneerd zijn
Patients with hemophilia
Patients with haemophilia
WHAT TO DO IN CASE OF.
Caution: if bleeding persists despite the first aid-methods mentioned below or if you
have any doubt, call the nearest haemophilia centre and / or inject factor VIII / IX
Note: Octostim® by subcutaneous injection or intranasal spray is only effective in case
of mild haemophilia A
Haemarthrosis (bleeding in a joint)
− Immediately inject Factor VIII (25-40 U/kg) or IX (30-50 U/kg).
− Apply ice (e.g. cold-pack) wrapped in a cloth or a cold compress.
− Immobilise the joint with a bandage or a splint (never with plaster) for 24 to 48 hours if the
haemarthrosis is severe and / or was not treated immediately.
− In case of doubt (severe haemarthrosis, persistent pain), call the physician (in some cases,
although rarely, it is necessary to make a puncture to evacuate the haematoma).
Haematoma (haematoma in a muscle, bruise, ecchymosis, contusion)
− Dangerous areas: bruising in the face (around eyes, mouth), neck, armpit, front of forearm,
buttocks, groin, behind the knee, calf, and the iliopsoas muscle.
− In case of deep haematoma
(in the muscle
) immediately inject factor VIII / IX (or Octostim®).
− In all situations, apply ice (e.g. cold-pack) wrapped in a cloth or a cold compress and compress
(possibly with a slight compression bandage) for ten minutes (if no ice available, compress with the palm of the hand).
− Optionally, define the size of the hematoma with a pen (encircle the hematoma) to monitor its
progress and note the time of its appearance: if the size of the haematoma increases, inject factor VIII / IX (or Octostim®) and call the physician.
− In case of severe blow on the head, immediately inject factor VIII / IX and call the physician.
− Warning: all cases of known or suspected head injury require immediate hospital care (possible
signs are: headache, change of behaviour including drowsiness, vomiting, blurred vision, fainting, etc.). In case of unconsciousness or short loss of conscience, hospital-based care is necessary.
Skin wound and superficial cuts
− Disinfect or wash the wound.
− Compress for 10 minutes and then make a compression bandage.
− If profound wound
, inject factor VIII / IX (or take Octostim®) and see a physician for stitches if
− Always remain seated, head bent forward (do not lie down or tilt your head backwards).
− Blow your nose once strongly, clean the nasal cavity with saline solution and then compress the
− Possibly put ice (e.g. cold-pack) on the neck and forehead. − If persistent or recurrent bleeding, take Cyklokapron® for 7 to 10 days and possibly inject factor
− If no improvement, see an ENT specialist for a gaze plugging or cauterization.
− Dangerous areas: bleeding further back in the nose (with blood flow in the throat).
Bleeding in the mouth (tongue, inner cheek, lip, gum)
− Rinse mouth with Hextril®.
− If possible, manually compress 10 minutes with one or more compresses soaked with
− Suck on ice cubes and eat cold semi-liquid foods for several days. − If persistence or recurrence, take Cyklokapron® for 7 to 10 days and possibly inject factor VIII /
− Dangerous area: bleeding from the tongue.
Loosing milk teeth (baby teeth)
− Bite on compresses soaked with Cyklokapron®.
− Eat cold semi-liquid foods for several days.
− If persistence or recurrence, take Cyklokapron® for 7 to 10 days and possibly inject factor VIII /
Tooth extraction or other dental procedures
− Call your physician and dentist to discuss treatment: factor VIII / IX or Octostim® before and
after any dental treatment, Cyklokapron® for 7 to 10 days, antibiotics if necessary (especially if prosthetic hip, knee, etc.).
Blood in urine
− Bed rest.
− Drink large amount if no pain (if pain, call the physician).
− Inject factor VIII / IX only if persistent or severe bleeding (in this case, call the physician).
− Caution: do not take Cyklokapron®.
Vomiting of blood or blood in the stool (black stools or red blood in / on stool)
− Inject factor VIII / IX and call the physician.
Geneva, May 2010.
Octostim® = DDAVP, Cyklokapron® = tranexamic acid, Hextril® = hexetidine.
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