Transfusion Reactions (part 2)
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Cancer and Blood Center at Kansas Institute of Medicine, Lenexa, KS.

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A trauma patient receives 12 units of red blood cells (RBCs) and 4 packs of platelets and is stabilized rapidly with no further bleeding. Later in the day, nursing reports difficulty in controlling oozing at venipuncture sites. He received sodium polystyrene sulfonate and intravenous calcium earlier in the day. He is otherwise hemodynamically stable and reports no headaches. Stat lab testing reveals the following: hemoglobin 9.6 g/dL, platelets 130,000/µL, INR 4.7, partial thromboplastin time 96 seconds, and fibrinogen 165 mg/dL.

What is the most appropriate therapy for this patient?

Cryoprecipitate

Desmopressin

Fresh frozen plasma

Surgical consult for skin sutures

Topical thrombin

Hospital Physician: Hematology/Oncology. 2019 March;14(3)

This quiz is not accredited for CME.

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