A girl with mild von willebrand disease has a previous history of heavy bleeding during tooth extraction. What is the prophylaxis to be given before tooth extraction?
In patients of von Willebrand disease, DDAVP can be given intra-nasally 2 hours before a procedure like dental extraction- mild to moderate risk of bleeding and can be repeated 12-24 hours. Aminocaproic acid or Tranexamic acid is an impoant therapy either alone or in an adjunctive capacity paicularly for the prevention or treatment of mucosal bleeding.
Desmopressin
Blood transfusion
Fresh frozen plasma
Cryoprecipitate
Platelet & Coagulation disorders