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TL DIC

HESI DIC

QuestionAnswer
Define DIC. Coagulation disorder with paradoxical thrombosis and hemorrhage
Describe the progression of DIC. Activation of the complement system results in abnormal clotting in the microcirculation which uses up clotting factors resulting in widespread hemorrhage
What lab findings indicate DIC? prolonged PT and PTT, decreased fibrinogen and platelets, increased FDP (fibrin degradation split products) or D-dimer
What are common assessment finding associated with DIC? Petechiae, purpura, hematomas, oozing from IV sites, drains, gums, and wounds, GI and Genitourinary bleeding, hemoptysis, mental change, hypotension, tachycardia, pain
What are two applicable nursing diagnoses for DIC? Risk for injury, Ineffective tissue perfusion
List some nursing interventions to protect the client with DIC from injury and bleeding. Gentle oral care with mouth swabs and suctioning, fewest bp’s, needles sticks, and smallest needle possible, frequent turning, apply pressure to oozing site
What drug is administered during the first phase of DIC in an effort to inhibit the exhaustion of clotting factors? heparin (Coumadin does not work for DIC)
What might be administered during the bleeding phase of DIC? Clotting factors
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