Which of the following is not used in DIC in pregnancy?
High-Yield Explanation
Epsilon-aminocaproic acid and heparin is not used in the treatment of disseminated intravascular coagulation (DIC) Evaluation and management of DIC: Identification of defective hemostasis Bioassay: Persistent bleeding from venipuncture sites, trauma from bladder catheterization, generalized oozing from the skin and subcutaneous and fascial tiisues. Prompt identification and removal of the source of coagulopathy: Emergent delivery preferably vaginal delivery Vigourous restoration and maintanence of circulation to treat hypotension Crystalloids and colloids to treat hypotension Whole blood and packed cells Fresh frozen plasma: Contains fibrinogen; antithrombin III; factors V, XI, XII Cryoprecipitate: Contains fibrinogen; factor VIII, von willebrand&;s factor, and factor XIII Platelet replacement if low. Ref: williams obstetrics 24th edition PGno: 810