Sign and Symptoms
Most common sign and symptoms?
Bruising
Blood clot
Shortness of breath
Confusion
What test are ordered to diagnosis DIC?
D-dimer
PT
Fibrinogen
aPTT
Nursing care for a patient with DIC
Practice bleeding precaution
monitor vitals
administer fluids and blood products
Provide respiratory support
What are some medical treatments used to treat DIC?
Blood component replacement therapy
RBC & platelet transfusion
Hemodynamic
ventilatory support
Vital signs to look out for
Tachycardia
Hypotension
Tachypnea
What does D-dimer test for?
Blood clotting factors
What is the main goal for a patient with DIC?
Control clotting and bleeding
What classification of medications are prescribed to someone with DIC?
Anti-coagulates
Complication associated with DIC
Heart attack
Stroke
Bleeding in GI tract
Acute Respiratory distress syndrome
What do labs look like for someone with DIC?
Elevated PT, aPTT, D-dimer, and decreased Fibrinogen
Would you continue to give heparin to a patient whose platelets count is below 50L?
NO
Patient with severe respiratory cases what support may be necessary with DIC?
Ventilatory support
What happens when there is a consumption of coagulating proteins?
Bleeding
What color tube is used to draw for CBC?
Lavender
What is a risk factor of Heparin?
excessive bleeding
How long should a blood transfusion run for?
4 hours
What can cause DIC?
Inflammation
Infection
Cancer
What color tube is used to draw for coagulation?
Blue top
What position should you place your patient to promote alveolar gas exchange?
Semi-flowers to High flowers
how long should you wait in the room when first start a blood transfusion for S&S
15 mins