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Multiple Choice

Which statement best describes the management priority in DIC?

Managing DIC centers on stopping the triggering process and supporting the patient’s coagulation system. The priority is to identify and treat the underlying cause (such as severe infection, obstetric catastrophe, or malignancy) while providing careful, targeted transfusion support to replace depleted factors and platelets as bleeding or lab tests dictate. Fresh frozen plasma is used to replenish coagulation factors when there is active bleeding or significant factor depletion; platelets are given for severe thrombocytopenia or ongoing bleeding; cryoprecipitate helps raise fibrinogen to a hemostatic level. Avoiding plasma products would miss an essential way to restore coagulation factors and control bleeding, so that approach isn’t appropriate as a general rule. Heparin isn’t routinely given in DIC with active bleeding, though it may be considered in select cases where thrombosis predominates and bleeding is controlled.

Managing DIC centers on stopping the triggering process and supporting the patient’s coagulation system. The priority is to identify and treat the underlying cause (such as severe infection, obstetric catastrophe, or malignancy) while providing careful, targeted transfusion support to replace depleted factors and platelets as bleeding or lab tests dictate. Fresh frozen plasma is used to replenish coagulation factors when there is active bleeding or significant factor depletion; platelets are given for severe thrombocytopenia or ongoing bleeding; cryoprecipitate helps raise fibrinogen to a hemostatic level. Avoiding plasma products would miss an essential way to restore coagulation factors and control bleeding, so that approach isn’t appropriate as a general rule. Heparin isn’t routinely given in DIC with active bleeding, though it may be considered in select cases where thrombosis predominates and bleeding is controlled.