A 25-year-old man is brought to ER after sustaining a penetrating injury to the left flank. Vital signs didn’t improve despite adequate resuscitation & FAST was positive. You decided to operate on him for suspected splenic injury, but you found out that he is on Warfarin for aortic valve disease & his INR is 3. What would you give him in order to correct his coagulopathy in route to OR?
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Fresh frozen plasm
He is bleeding and needs surgery now, so the warfarin effect must be reversed rapidly by replacing vitamin K-dependent factors - FFP (or PCC, which is not offered). Vitamin K alone takes 12-24 hours to work because the liver must make new factors. Factor VIII and cryoprecipitate do not replace the factors warfarin depletes.
- المصدر
- Step Up To Medicine 6th, 2024 (anticoagulation).pdf · p. 3
Step Up To Medicine 6th, 2024 (anticoagulation).pdf · p. 4 - المحاضرة
- Other subjects · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 231 Q72