w Goal: Correct bleeding time and Factor VIII level
w Ideal test for monitoring efficacy of therapy never
documented
w Treatment usually needed only for surgery or major
trauma
w DDAVP (Desmopressin - 0.3 μg/kg by infusion
Often effective for Type I; tachyphylaxis develops
Ineffective in Type IIa; relatively contraindicated in Type IIb
MUST TEST FOR EFFICACY PRIOR TO USE
w Cryoprecipitate - 1000-1200 units every 12 hours for
Types I & II vWD; 2000-2400 units every 12 hours for
Type III vWD
w Factor VIII concentrate - Do not use, except:
Humate-P (only one containing significant vWF)