Question

A 50-year-old man with known cirrhosis and ascites presents with fever and abdominal pain, and is suspected of having acute spontaneous bacterial peritonitis. The patient is hemodynamically stable and not actively bleeding (negative nasogastric tube aspiration and no occult blood in rectal exam). Initial labs include a prolonged prothrombin time, increased INR, decreased platelets, and a minimally decreased fibrinogen level. Which of the following is indicated prior to performing a paracentesis? (A) Cryoprecipitate. (B) Fresh frozen plasma (FFP). (C) Platelet transfusion. (D) Desmopressin (DDAVP).

   A 50-year-old man with known cirrhosis and ascites presents with fever and abdominal pain, and is suspected of having acute spontaneous bacterial peritonitis. The patient is hemodynamically stable and not actively bleeding (negative nasogastric tube aspiration and no occult blood in rectal exam). Initial labs include a prolonged prothrombin time, increased INR, decreased platelets, and a minimally decreased fibrinogen level. Which of the following is indicated prior to performing a paracentesis?
(A) Cryoprecipitate.
(B) Fresh frozen plasma (FFP).
(C) Platelet transfusion.
(D) Desmopressin (DDAVP).
Show more…
Emergency Medicine Examination & Board Review
Emergency Medicine Examination & Board Review
Susan Promes 3rd Edition
Chapter 11, Problem 10 ↓

Instant Answer

verified

Step 1

Step 1: Assess the patient's current condition and vital signs to ensure that he is stable for the procedure.  Show more…

Show all steps

lock
AceChat toggle button
Close icon
Ace pointing down

Please give Ace some feedback

Your feedback will help us improve your experience

Thumb up icon Thumb down icon
Thanks for your feedback!
Profile picture
A 50-year-old man with known cirrhosis and ascites presents with fever and abdominal pain, and is suspected of having acute spontaneous bacterial peritonitis. The patient is hemodynamically stable and not actively bleeding (negative nasogastric tube aspiration and no occult blood in rectal exam). Initial labs include a prolonged prothrombin time, increased INR, decreased platelets, and a minimally decreased fibrinogen level. Which of the following is indicated prior to performing a paracentesis? (A) Cryoprecipitate. (B) Fresh frozen plasma (FFP). (C) Platelet transfusion. (D) Desmopressin (DDAVP).
Close icon
Play audio
Feedback
Powered by NumerAI
Need help? Use Ace
Ace is your personal tutor. It breaks down any question with clear steps so you can learn.
Start Using Ace
Ace is your personal tutor for learning
Step-by-step explanations
Instant summaries
Summarize YouTube videos
Understand textbook images or PDFs
Study tools like quizzes and flashcards
Listen to your notes as a podcast
Continue solving this problem
Create a free account to:
  • View full step-by-step solution
  • Ask follow-up questions with Ace AI
  • Save progress and study later
Continue Free
Numerade

Get step-by-step video solution
from top educators

Continue with Clever
or



By creating an account, you agree to the Terms of Service and Privacy Policy
Already have an account? Log In

A free answer
just for you

Watch the video solution with this free unlock.

Numerade

Log in to watch this video
...and 100,000,000 more!


EMAIL

PASSWORD

OR
Continue with Clever