07-09-2008, 01:31 AM
A 61-year-old man presents for an elective surgical incision and drainage procedure. The patient has an 8-year history of hepatitis C infection with well-documented cirrhosis and portal hypertension. He has a large hematoma on his thigh that is suspected to have necrotic tissue underlying it and therefore requires debridement. On preoperative screening, his prothrombin time is noted to be 17.4 seconds. Transfusion of which of the following is the most appropriate next step in management of this patient prior to his procedure?
A. Cryoprecipitate
B. Fresh frozen plasma
C. Packed red blood cells
D. Platelets
E. Whole blood
A. Cryoprecipitate
B. Fresh frozen plasma
C. Packed red blood cells
D. Platelets
E. Whole blood