When using dextran as a fluid therapy for a patient who is in a state of shock, which factors should the nurse consider? Select all that apply.
a. Use of dextran as a fluid therapy increases the risk of bleeding.
b. Use dextran in limited quantities for shock therapy because it has side effects.
c. Use of dextran increases oxygen-carrying capability of the blood.
d. Check whether the patient is monitored for allergic reactions and acute renal failure.
e. Use dextran, because it helps to control bleeding caused by thrombocytopenia.