Internal Bleeding (cont.)
Initial treatment of internal bleeding will include stabilizing the patient,
meaning that the ABCs of resuscitation take priority for the care provider.
- A: Airway. Patients with altered or decreased mental status may not be awake
enough to breathe on their own.
- B: Breathing. Even if the airway is open, the lungs may not adequately be
functioning and may need assistive care to allow oxygen to be transferred from the lung
to the bloodstream.
- C: Circulation. The body requires blood to circulate to all its cells to
provide oxygen and nutrients and to remove waste products. Treatment is aimed to
maintain blood pressure and circulation. Often intravenous fluids only are
required. Sometimes blood transfusion is needed. A few patients will require
immediate transfusions with universal donor blood (type "O negative" blood).
Specific treatment for internal bleeding depends upon the source of the
bleeding. The common goal for treatment is to find the source of bleeding and
stop it. At the same time, treatment will be directed to repair or stabilize any
damage that the bleeding caused.
Once the acute situation has resolved, treatment will try to correct the
underlying cause of bleeding to prevent future episodes.
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