Your patient is a 23-year-old female who is 6 hours postpartum after a traumatic delivery resulting in a massive blood transfusion. She is to be transferred from a community hospital to a specialty hospital for further care. She is unconscious and intubated, with a number of intravenous lines. Your physical examination reveals a purpuric rash over the chest and abdomen and mottling of the fingers and toes and all of the venous access sites are oozing blood. In addition, auscultation of the lung fields reveals rales to the dependent regions. HR = 112, BP = 82/60, RR = 12 via ventilator. Which of the following best describes the patient's condition and treatment needs, in addition to continued ventilation and fluid administration?
A) DIC; type O negative blood
B) Idiopathic hemophilia; corticosteriods
C) DIC; fresh frozen plasma and platelet administration
D) Idiopathic hemophilia; factor VIIa administration
C
Health Professions
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You must check the circulation of an 8-year-old child with a high fever who has been vomiting for the past 2 hours. The child is very frightened and crying. Given the situation, you should:
A) palpate the radial artery. B) obtain a carotid pulse. C) feel for a brachial pulse. D) listen to the heart with a stethoscope.
Health Professions
Which of the following provides an excellent opportunity to recognize an error before a drug is even dispensed?
Pharmaceutical calculation Pharmaceutical counseling Pharmaceutical compounding All of the above
Health Professions