Blood

Question 1

18-year-old woman in high-speed motorcycle collision with subdural hematoma and flail chest; platelets5 189,000;
fibrinogen 5 400,ionized calcium5 2.8;PT23 (INR=3.4);PTT5 35

Answer 1

FFP (fresh frozen plasma)

Question 2

44-year-old man involved in afallfrom scaffolding going to the operating room for exploratory laparotomy for significant free air onCT scan;platelets5 25,000; PT5 13.1;PTT 5 38;
fibrinogen5 20

Answer 2

antifibronolytic

Question 3

Patient with liver failure and poor nutrition with elevated PT that is refractory to multiple transfusions of FFP

Answer 3

Vitamin K

Question 4

8-year-old boy with hemophilia A with spontaneous bruising and nosebleed

Answer 4

Factor VIII

Question 5

7-year-old boy with hemophilia B with large right knee hemarthrosis

Answer 5

Factor IX

Question 6

23-year-old woman with von Willebrand’s disease who develops bleeding complications

Answer 6

First try DDAVP; then cryoprecipitate prn