In the management of DIC, which of the following is a key goal?

• A. Increase oxygen delivery
• B. Decrease hydration
• C. Suppress immune response
• D. Promote fever

Answer: (A)

The main idea in managing DIC is to ensure adequate tissue oxygenation by preserving and improving oxygen delivery. DIC causes microvascular clots and bleeding, which can reduce perfusion and lead to tissue hypoxia and organ dysfunction. Therefore, the priority is to support hemodynamics and the oxygen-carrying capacity of blood—maintaining adequate circulating volume and blood pressure, ensuring good oxygenation, and replacing consumed factors and platelets as needed with appropriate transfusions. This approach helps mitigate hypoxia while addressing the underlying trigger of DIC.

Decreasing hydration would worsen perfusion; suppressing immune response isn’t the immediate management goal in DIC, and promoting fever increases metabolic demand and oxygen need, which is undesirable.