A 59-year-old male is brought to the emergency department in profound hypovolemic shock from massive hematemesis requiring resuscitation with 6L of crystalloid solution and 8 units of packed RBCs. What is the most likely cause of coagulopathy in this patient?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: A. Hypothermia
After massive resuscitation with large volumes of crystalloid and packed RBCs, coagulopathy is mainly due to hypothermia (together with acidosis and dilution). This is why blood products are prioritised over excess crystalloid. DIC is linked to the late, irreversible stage of shock. Transfusion-transmitted infection and SIRS-related liver failure do not explain an acute coagulopathy.
- المصدر
- Surgical Principles 💉.pdf · p. 96
Surgical Principles 💉.pdf · p. 95 - المحاضرة
- Shock · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 194 Q15