A 32-year-old woman is brought to the emergency department after ingestion of rat poison as a suicide attempt. Her vital signs are normal and physical examinaton shows unremarkable findings. After two days, she comes again after two episodes of bloody vomiting. she felt dizzy and lightheadness. Physical examination shows scattered ecchymoses. The abdomen is soft and nontender. Rectal examination shows maroon-colored, guaiac-positive stool. Immediate treatment of this patient should include which of the following?

Question

A 32-year-old woman is brought to the emergency department after ingestion of rat poison as a suicide attempt. Her vital signs are normal and physical examinaton shows unremarkable findings. After two days, she comes again after two episodes of bloody vomiting. she felt dizzy and lightheadness.   Physical examination shows scattered ecchymoses.  The abdomen is soft and nontender.  Rectal examination shows maroon-colored, guaiac-positive stool. Immediate treatment of this patient should include which of the following?

Quizplus · Accepted Answer

Eductional Objective: Most available rodenticides contain brodifacoum, a long-acting 4-hydroxycoumarin derivative.  A patient who has ingested a quantity of rodenticide sufficient to cause coagulopathy and abnormal bleeding (similar to warfarin toxicity) requires immediate treatment with fresh frozen plasma in addition to vitamin K.

A 32-Year-Old Woman Is Brought to the Emergency Department After