A patient has been diagnosed with disseminated intravascular coagulation (DIC). The patient's condition has not improved after administration of fresh frozen plasma and platelets. Which therapy does the nurse anticipate?

Question

1. Administration of heparin
2. Rapid infusion of intravenous normal saline
3. Bone marrow transplant
4. Surgical removal of the spleen

Answer 1

1
Rationale 1: Anticoagulants such as unfractionated or low-molecular-weight heparin can prevent the formation of new thrombi. Low doses are titrated carefully.
Rationale 2: Intravenous fluids will be continued, but high volume is not indicated.
Rationale 3: A bone marrow transplant is not indicated for this patient.
Rationale 4: A splenectomy would not improve this patient's condition, and a surgical procedure could cause additional uncontrolled bleeding.