During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available
What blood product would be the next best option to promote clotting? 1. Platelets
2. Whole blood
3. Packed cells
4. Fresh or fresh frozen plasma
4
Rationale 1: The child has adequate platelets, and administration of platelets will not promote clotting.
Rationale 2: Whole blood will increase the blood volume without promoting clotting.
Rationale 3: A unit of packed cells will provide RBCs but not the factor needed to clot.
Rationale 4: Factors are located in the plasma. Fresh or fresh frozen plasma will provide the best source of factor available.
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