Podcast
Questions and Answers
Which of the following is a potential cause of decreased platelet production leading to thrombocytopenia?
Which of the following is a potential cause of decreased platelet production leading to thrombocytopenia?
- Viral invasion
- Antibody destruction
- Aplastic anemia (correct)
- Platelet sequestration in the spleen
What is the most common cause of thrombocytopenia purpura?
What is the most common cause of thrombocytopenia purpura?
- Acute form in children
- Drug-induced
- Idiopathic (ITP) (correct)
- Chronic form in women
Which of the following clinical manifestations is specific to platelet disorders?
Which of the following clinical manifestations is specific to platelet disorders?
- Gingival bleeding
- Ecchymosis
- Petechiae (correct)
- Epistaxis
At what platelet count can spontaneous bleeding occur?
At what platelet count can spontaneous bleeding occur?
Which of the following diagnostic tests would help identify abnormalities in platelet count and cell lines?
Which of the following diagnostic tests would help identify abnormalities in platelet count and cell lines?
When monitoring a patient with thrombocytopenia, which assessment finding would indicate a potential complication?
When monitoring a patient with thrombocytopenia, which assessment finding would indicate a potential complication?
What is the therapeutic goal for anticoagulation therapy?
What is the therapeutic goal for anticoagulation therapy?
What is the most common symptom associated with heparin therapy?
What is the most common symptom associated with heparin therapy?
Which of the following is a potential cause of coagulation disorders?
Which of the following is a potential cause of coagulation disorders?
What is the initial step in the clotting mechanism?
What is the initial step in the clotting mechanism?
Which of the following is a skin and mucous membrane manifestation of coagulation disorders?
Which of the following is a skin and mucous membrane manifestation of coagulation disorders?
Which of the following is a potential clinical manifestation of circulatory hypovolemia due to coagulation disorders?
Which of the following is a potential clinical manifestation of circulatory hypovolemia due to coagulation disorders?
What is a potential subjective finding in a patient with a coagulation disorder?
What is a potential subjective finding in a patient with a coagulation disorder?
Which blood test is used to evaluate the coagulation cascade?
Which blood test is used to evaluate the coagulation cascade?
What is a possible medical management option for a patient with a coagulation disorder?
What is a possible medical management option for a patient with a coagulation disorder?
What is a key objective finding in a patient with a coagulation disorder?
What is a key objective finding in a patient with a coagulation disorder?
Which of the following is NOT a step in the clotting mechanism?
Which of the following is NOT a step in the clotting mechanism?
What diagnostic test is used to confirm the diagnosis of Multiple Myeloma?
What diagnostic test is used to confirm the diagnosis of Multiple Myeloma?
What is a key laboratory marker that can be used to monitor the extent of Multiple Myeloma?
What is a key laboratory marker that can be used to monitor the extent of Multiple Myeloma?
Which of the following medications is commonly used to treat Multiple Myeloma?
Which of the following medications is commonly used to treat Multiple Myeloma?
Which of the following is an objective assessment finding that can be observed in a patient with Multiple Myeloma?
Which of the following is an objective assessment finding that can be observed in a patient with Multiple Myeloma?
Which of the following is a nursing intervention related to the management of patients with Multiple Myeloma?
Which of the following is a nursing intervention related to the management of patients with Multiple Myeloma?
Which of the following is NOT a factor that is often involved in the etiology of Multiple Myeloma?
Which of the following is NOT a factor that is often involved in the etiology of Multiple Myeloma?
What is a common clinical manifestation of Disseminated Intravascular Coagulation (DIC)?
What is a common clinical manifestation of Disseminated Intravascular Coagulation (DIC)?
Which of the following is a primary medical management strategy for DIC?
Which of the following is a primary medical management strategy for DIC?
Which of the following is a primary nursing intervention in a patient with DIC?
Which of the following is a primary nursing intervention in a patient with DIC?
What is the purpose of administering Vitamin K in a patient with DIC?
What is the purpose of administering Vitamin K in a patient with DIC?
What is the primary reason for the prolonged partial thromboplastin time (PTT) in patients with a deficiency of factors VIII and/or IX?
What is the primary reason for the prolonged partial thromboplastin time (PTT) in patients with a deficiency of factors VIII and/or IX?
What is the primary goal of medical management for patients with hemophilia?
What is the primary goal of medical management for patients with hemophilia?
Which of these nursing interventions is crucial in managing emergencies related to hemophilia?
Which of these nursing interventions is crucial in managing emergencies related to hemophilia?
What specific guidance should patients with hemophilia receive regarding potential risks?
What specific guidance should patients with hemophilia receive regarding potential risks?
What is a common characteristic of Von Willebrand's Disease?
What is a common characteristic of Von Willebrand's Disease?
Which of the following treatments is commonly used for mild cases of Von Willebrand's Disease?
Which of the following treatments is commonly used for mild cases of Von Willebrand's Disease?
What is the primary underlying cause of Disseminated Intravascular Coagulation (DIC)?
What is the primary underlying cause of Disseminated Intravascular Coagulation (DIC)?
Why is DIC considered a serious and potentially life-threatening condition?
Why is DIC considered a serious and potentially life-threatening condition?
Flashcards
Heparin
Heparin
An anticoagulant used to prevent blood clots.
Thrombocytopenia
Thrombocytopenia
A condition with fewer than 150,000 platelets/mm3.
Petechiae
Petechiae
Small red or purple spots on the skin indicative of bleeding disorders.
Ecchymosis
Ecchymosis
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Signs of hypovolemia
Signs of hypovolemia
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Complete Blood Count (CBC)
Complete Blood Count (CBC)
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Bone Marrow Aspiration
Bone Marrow Aspiration
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Tapering anticoagulation therapy
Tapering anticoagulation therapy
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Clotting Factors Depletion
Clotting Factors Depletion
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Microvascular Clotting
Microvascular Clotting
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Clinical Manifestations of DIC
Clinical Manifestations of DIC
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DIC Diagnostic Tests
DIC Diagnostic Tests
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Medical Management of DIC
Medical Management of DIC
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Coagulation Disorders
Coagulation Disorders
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Causes of Coagulation Disorders
Causes of Coagulation Disorders
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Clotting Cascade
Clotting Cascade
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Hemostatic Plug
Hemostatic Plug
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Clinical Manifestations
Clinical Manifestations
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Petechiae and Ecchymosis
Petechiae and Ecchymosis
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Hypotension
Hypotension
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CBC Test
CBC Test
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Anticoagulation Therapy
Anticoagulation Therapy
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Liver Disease Effect
Liver Disease Effect
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End-organ damage monitoring
End-organ damage monitoring
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Monoclonal protein
Monoclonal protein
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Multiple Myeloma
Multiple Myeloma
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Patient population for Myeloma
Patient population for Myeloma
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Radiographic studies
Radiographic studies
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Bone marrow biopsy
Bone marrow biopsy
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Chemotherapy agents
Chemotherapy agents
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Hypercalcemia
Hypercalcemia
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Patient assessment data
Patient assessment data
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Deficiency of factors VIII and IX
Deficiency of factors VIII and IX
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Partial Thromboplastin Time (PTT)
Partial Thromboplastin Time (PTT)
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Factor VIII administration
Factor VIII administration
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Von Willebrand's Disease
Von Willebrand's Disease
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Cryoprecipitate
Cryoprecipitate
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DIC (Disseminated Intravascular Coagulation)
DIC (Disseminated Intravascular Coagulation)
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Desmopressin (DDAVP)
Desmopressin (DDAVP)
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Thrombosis and Fibrinolysis
Thrombosis and Fibrinolysis
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Genetic counseling
Genetic counseling
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Emergency care procedures
Emergency care procedures
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Study Notes
Coagulation Disorders
- Coagulation disorders are caused by trauma, vessel damage, inadequate vessel function, or irregularities in clotting factor or platelet function. Liver disease can also contribute
- The clotting cascade involves three distinct reaction chains involving platelets, prothrombin, thrombin, fibrin, tissue factor (Factor III), and factors I-XIII. This process culminates in a hemostatic plug and blood clotting.
- Vasoconstriction helps limit capillary leakage.
- Disruptions can be congenital or arise from other diseases or medications
Clinical Manifestations
- Skin and mucous membrane issues like petechiae, ecchymosis, epistaxis (nosebleeds), and gingival bleeding can occur.
- Other symptoms include circulatory hypovolemia (hypotension, pallor, cool clammy skin), tachycardia, and gastrointestinal tract bleeding with abdominal pain.
- Nervous system involvement may include altered responses, malaise, loss of consciousness, and speech changes.
Thrombocytopenia
- Thrombocytopenia is characterized by a deficiency in circulating platelets or a change in platelet function impacting coagulation.
- Low platelet counts (less than 150,000/mm³) can be caused by decreased platelet production or survival issues (antibody destruction, infections or viruses).
- Other potential causes include altered platelet function and sequestration in the spleen.
Von Willebrand Disease
- This inherited bleeding disorder involves abnormally slow coagulation and spontaneous episodes of bleeding (gastrointestinal, epistaxis, gingival).
- It's common during pregnancy, menstruation, or after surgery.
Disseminated Intravascular Coagulation (DIC)
- DIC is a severe coagulopathy resulting from excessive clotting and anti-clotting processes, often due to underlying disorders or injuries.
- It is associated with significant morbidity and mortality (80-90%).
Multiple Myeloma
- Multiple myeloma is a malignant plasma cell disease affecting the bone marrow.
- It involves the rapid build-up of neoplastic plasma cells, which can cause bone destruction and the production of monoclonal proteins (M proteins).
- Common clinical manifestations include skeletal symptoms, osteolytic lesions, and the spread of tumors to various organs.
Assessment (General)
- Subjective data includes a comprehensive history of bleeding episodes, exposure to toxins or hazardous materials, medication use, and recent illnesses.
- Objective data includes physical examination focusing on bleeding tendencies, skin and mucous membrane manifestations, and neurological status.
- Diagnostic tests like complete blood counts, clotting factor assays, bone marrow biopsies, and imaging studies may aid in assessment and diagnosis.
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