A client diagnosed with disseminated intravascular coagulation (DIC) is currently bleeding through the gastrointestinal tract. The nurse would expect to provide which of the following for the client?
1. Heparin
2. Coumadin
3. Aspirin
4. Fresh frozen plasma and platelets
4. Fresh frozen plasma and platelets
Rationale:
When bleeding is the major manifestation of DIC, fresh frozen plasma and platelet concentrates are given to restore clotting factors and platelets. Heparin may be administered if bleeding is not controlled by plasma and platelets and if the client has manifestations of thrombotic problems. Coumadin and aspirin are not indicated in the treatment of DIC.
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