Coagulation Disorders · NCLEX Exam

In acute DIC, what is the most urgent next step for a patient with hypotension, rising creatinine, and very low fibrinogen?

  1. Scheduled factor replacement with safe exercise
  2. Use of anticoagulants to manage acute bleeds
  3. Frequent venous blood draws for close monitoring
  4. Routine daily low-dose aspirin therapy
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Correct answer: Scheduled factor replacement with safe exercise

In acute DIC with bleeding and organ dysfunction, urgent replacement of coagulation factors and fibrinogen, along with hemodynamic support, is crucial.

Difficulty: Hard Question 9 of 20

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