All of the following are used in management of PPH except
Correct Answer: NOVO-T
Description: Ans. is d, i.e. NOVO-TRef. Fernando Arias 4/e, p 393For fluid resuscitation after PPH following are used:Colloids and crystalloidsBloodFresh frozen plasma-to correct clotting factor deficiency given, if 4U of blood has been given or, if PT>1.5CryoprecipitatePlatelets (if platelet count < 50,000 or, if 4 units of blood have been transfused).NOVO-T is activated factor 7. Its role is well, established in hemophilia. Activated factor VII (NOVOT) acts by binding with tissue factor to augment intrinsic clotting pathway by activating factor IX and X. However its role is obstetrical haemorrhage is uncertain and moreover it is not used in these cases due to risk of thromboembolic events like MI.
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Gynaecology & Obstetrics
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