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
Platelet count
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
What are some signs that indicate DIC and appears on the skin?
Petechiae
Purpura
What is D-dimer test used for?
To check for blood clotting problems
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 process?
Heart attack
Stroke
Renal failure
Shock
Pulmonary Embolism
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
Explain the difference between Acute & Chronic DIC
Acute develops quicker within hours or days
Chronic develops slower with weeks or months
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 with examples :)
Trauma - MVA or Delivery tearing
Infection- sepsis
Cancer- prostate, pancreas , lung or stomach
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