Tuesday, July 1, 2014

Question 34

34.  Your patient is a 31 year old female that has just delivered a 6 pound 8 ounce boy via vaginal delivery 6 hours ago.  She is on heparin because of a DVT in her right leg that was diagnosed when she was 24 weeks gestation.  She suddenly starts having severe vaginal bleeding and becomes dizzy and tachycardic.  Her vital signs are as follows:  HR 141, BP 79/47, Sat 95% Temp 97.7.  Which of the following is the best therapeutic intervention at this time?

A.  Fresh Frozen Plasma
B.  Protamine
C.  Start Vancomycin and Zosyn, with a fluid bolus for empiric treatment of Sepsis
D.  Transfuse a 6 pack of platelets

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