Page 1 of 1: severe menorrhagia

H2O · Credits: 3728 My Scrapbook

17 yo female with severe menorrhagia. Investigation reveals Hb 8.0 gm\dL. Pulse 110 BP. 80\60. BhCG (-ve). Initial management. ?
a.IV Oxytocin
b.Blood transfusion
c.D&C
d.IM Medroxyprogesteron
e.IV Estrogen

honeyam5 · Credits: 2430 My Scrapbook

d.IM Medroxyprogesteron
but not sure

maryana · Credits: 14336 My Scrapbook

D)

docmk27 · Credits: 5903 My Scrapbook

b.Blood transfusion

smartyroy · Credits: 13861 My Scrapbook

e.. i/v estrogen

honeyam5 · Credits: 2430 My Scrapbook

they asking about initial treatment ,and iv estrogen for acute DUB in in question did not mention

what you think smartyroy

katerin · Credits: 233 My Scrapbook

IV Estrogen - is first step in severe acute Bleeding in the nonpregnant patient
If no response after 2-4 doses D&C, and if Hb < 7,5 give blood
I didn't find anything about Medroxyprogesteron or Oxytocin for this situation

maryana · Credits: 14336 My Scrapbook

Yes, agree, 4)
Conjugated estrogens
These agents are given intravenously every 4 hours in patients with acute bleeding.
A D&C procedure may be necessary if no response is noted in 24 hours.
If menses slows, follow up with estrogen-progestin therapy for 7 days. This is followed by OCPs for 3 months.

bloater · Credits: 1258 My Scrapbook

This patient is gradually and rapidly dying due to hemorrhagic shock during her doctors are academically selecting what medications or hormones to give her. We don't know why she is bleeding but she is loosing blood seriously now !! Drs ! you should give her blood first and study thereafter.

doctormoony · Credits: 8375 My Scrapbook

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