Transfusion Reactions (part 2)
Author and Disclosure Information [Show]

Cancer and Blood Center at Kansas Institute of Medicine, Lenexa, KS.

Question 1 of 5

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.

More from Board Review Questions: Hematology/Oncology

QUIZ

Autoimmune Hemolytic Anemia
Gastrointestinal Stromal Tumors
Testicular Cancer
Management of Advanced Melanoma
Castration-Resistant Prostate Cancer
Transfusion Reactions (part 1)
Plasma Cell Disorders (part 3)
Plasma Cell Disorders (part 2)
Chronic Myeloid Leukemia
Aplastic Anemia
Transfusion Medicine
Small Cell Lung Cancer
Management of Metastatic Gastric Cancer
Acute Myeloid Leukemia
Urothelial Carcinoma: Muscle-Invasive and Metastatic Disease
Management of Colorectal Cancer in Older Adults
Aggressive B-Cell Non-Hodgkin Lymphoma
HER2-Positive Breast Cancer
Pancreatic Adenocarcinoma: Advanced Unresectable and Metastatic Disease
Von Willebrand Disease: Clinical Management
Von Willebrand Disease: Assessment and Diagnostic Testing
Pancreatic Adenocarcinoma: Neoadjuvant and Adjuvant Treatment
Late Pulmonary Complications After Hematopoietic Stem Cell Transplantation
Polycythemia Vera and Essential Thrombocythemia: Current Management
Treatment of Biliary Tract Cancers
Early Pulmonary Complications After Hematopoietic Stem Cell Transplantation
Hairy Cell Leukemia
Genomic Testing in Women with Early-Stage Hormone Receptor–Positive, HER2-Negative Breast Cancer
Immune Thrombocytopenia
Cancer-Related Fatigue
Disseminated Intravascular Coagulation
Advanced Stage and Relapsed/Refractory Hodgkin Lymphoma
Adjuvant Chemotherapy for Colon Cancer
Molecular Markers and Targeted Therapies in the Management of Non-Small Cell Lung Cancer
Metastatic Cutaneous Melanoma: Targeted Therapy and Immunotherapy
Thrombosis in Pregnancy
Locally Advanced Pancreatic Cancer
Early-Stage Hodgkin Lymphoma
Neoadjuvant and Adjuvant Therapy for Gastric Cancer
Hemophilia A and B
Mantle Cell Lymphoma
Soft Tissue Sarcoma
Sickle Cell Disease
Renal Cell Carcinoma
Management of Locally Advanced Rectal Adenocarcinoma
Adjuvant Systemic Therapy for Early-Stage Breast Cancer
Chronic Myeloid Leukemia
Plasma Cell Disorders
Myelodysplastic Syndromes
Acute and Chronic Graft-versus-Host Disease