A 65-year-old man with end-stage renal disease on hemodialysis is transferred to the ICU with new onset hematemesis. After adequate IV access is established, he is transfused four units of packed red blood cells, four units of fresh frozen plasma, and one apheresis unit of platelets. His vital signs improve though he still is having episodes of hematemesis. As you await the GI consult for possible endoscopy, what is the next best step in management?
A. Prothrombin complex concentrate (PCC) Wrong Choice!
B. Desmopressin Correct Choice
C. Fresh frozen plasma Wrong Choice!
D. Additional packed red blood cells Wrong Choice!
Answer:B
A 65-year-old man with end-stage renal disease on hemodialysis is transferred to the ICU with new onset hematemesis. After adequate IV access is established, he is transfused four units of packed red blood cells, four units of fresh frozen plasma, and one apheresis unit of platelets. His vital signs improve though he still is having episodes of hematemesis. As you await the GI consult for possible endoscopy, what is the next best step in management?
A. Prothrombin complex concentrate (PCC) Wrong Choice! B. Desmopressin Correct Choice C. Fresh frozen plasma Wrong Choice! D. Additional packed red blood cells Wrong Choice!