ABSTRACT
The patient will feel cold because of the hypotension, and will need warm blankets. Such an event is frightening for the patient, who may need rapid sedation intravenously. Since small, repeated bleeds can herald a major bleed, hemorrhage is a common fear, but in reality it is an uncommon problem. Admission may be needed for minor bleeds if the patient and family find these frightening and if they wish treatment. Successful treatment of a major hemorrhage is usually only possible in acute hospital settings in non-malignant conditions. Single treatments are possible in frail patients, and internal radioactive sources are being used for esophageal and bronchial bleeding. Intravaginal and intrauterine sources can also be used to control bleeding from advanced gynecological tumors. Coagulation disorders can be caused by platelet deficiency or malfunction, by excessive clotting, or may be due to widespread microvascular clotting which uses up clotting factors, resulting in a coexistent tendency to bleed.
