correction of coagulopathy in preterms

[lulaniyarasheed 10]

dear collegues,

just want to know the protocol for correction of coagulopathy, and use of FFP in preterms,

[Guest cihanber]

hi ,what is FFP?

thanks

[Stefan Johansson 631]

FFP = Fresh Frozen Plasma

We generally administer 10 ml/kg of plasma and then re-check coagulation parameters, and repeat plasma if needed. Specific coagulation factors are not used unless very special circumstances.

[adaniel 10]

FFP 10ml/kg . Make sure taht Vitamin K is administered if not give vit K also. then repeat coagulation profile and repeat FFP if needed.

Alex Daniel

[Mohan 6]

Do all preterm neonates on antibiotics require weekly Vitamin K IM injection even if on EBM/ Breast feeds? If so till how long?

[Stefan Johansson 631]

Do all preterm neonates on antibiotics require weekly Vitamin K IM injection even if on EBM/ Breast feeds? If so till how long?

We do not administer vitamin K on a routinely basis, BESIDES the first shot given intramusc to ALL newborn infants regardless of gestational age.

(and we do give extra vitamin K in cases of cholestatic jaundice, but that's a somewhat different story)

[nashwa 20]

We administer vit k every w to any baby on broad spectrum antibiotic in our nicu on ivf

[spatel0316 10]

No need for vit K repeat dose if baby on antibiotics. If we see any s/s of coagulopathy then we can repeat dose but routinely I don't tHink its recommended.

Sanjay Patel,MD

Texas