What other coagulation factor should now be measured?
- Factor VIII levels to exclude combined factor V and VIII deficiency
How would manage this patient?
- Virally inactivated FFP to raise the FV level above 15 iu/dL (probably
20-25 mL/kg). This should be repeated in
order to maintain the factor V level above 15 iu/dL until the patient is stable.
- If this fails platelet transfusion could be used to deliver higher levels
of FV locally.
- Fluid balance may be problematic with relatively large volumes of FFP being given a small
baby.
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