Paediatric Palliative Care Guidelines
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Edition/Revision: 1.0
Archived

Haemoptysis - Archived

Causes
  • Infection
  • Tumour
Interventions
  • Haemoptysis is frightening for the child or young person and their family.
  • Where appropriate reassurance should be given that major haemorrhage is, in reality, unlikely.
  • Where the cause is tumour, radiotherapy may have a dual effect of shrinking the mass and reducing bleeding from surface.
  • Etamsylate (enhances platelet adhesiveness if numbers are normal) and tranexamic acid (antifibrinolytic) can both reduce the risk of haemoptysis.
  • It is important to prepare for the possibility of significant haemorrhage, albeit small.
    • Ensure dark green surgical towels are by child’s bedside or in the family home (blood volumes appear greater and more frightening against white bed linen)
    • Parenteral Midazolam (SCIV or buccal) should be accessible to be given as necessary to sedate the child in the event of a distressing, catastrophic haemorrhage.
Edition/Revision: 1.0
Created 18 Jul 2013 - Archived
Validated 19 Jul 2013 by Ian Back
Last modified 15 May 2021
Mon 17 May 2021 02:21:52 GMT +0100 (DST)
Last modified 15 May 2021