Management of DIC in ICU

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Questions and Answers

What is the primary objective of hemostasis?

  • To stimulate vasoconstriction
  • To prevent excessive bleeding (correct)
  • To promote inflammation
  • To enhance fibrinolysis

Which of the following is NOT a cause of Disseminated Intravascular Coagulation (DIC)?

  • Pregnancy complications
  • Trauma (correct)
  • Viral infection
  • Bacterial infection

What is the primary mechanism of hemostasis in the first phase?

  • Fibrin clot formation
  • Fibrinolysis
  • Smooth muscle contraction (correct)
  • Platelet plug formation

What is the final phase of hemostasis?

<p>Fibrinolysis (B)</p> Signup and view all the answers

What is the term for the uncontrolled systemic activation of coagulation and fibrinolytic cascades?

<p>Disseminated Intravascular Coagulation (DIC) (B)</p> Signup and view all the answers

What is the primary result of uncontrolled systemic activation of inflammatory responses?

<p>Disseminated Intravascular Coagulation (DIC) (D)</p> Signup and view all the answers

What is a possible trigger for Systemic Activation of Coagulation?

<p>All of the above (D)</p> Signup and view all the answers

What is a common complication of DIC?

<p>Hypotension (A)</p> Signup and view all the answers

What is an early classic sign of DIC?

<p>Abrupt onset of bleeding (A)</p> Signup and view all the answers

What is a result of stagnation of capillary flow from prolonged hypotension and systemic arteriovenous shunting?

<p>Metabolic acidosis (C)</p> Signup and view all the answers

What is a characteristic skin symptom of DIC?

<p>Purpura (A)</p> Signup and view all the answers

What is a possible cause of hemorrhage in DIC?

<p>Paradoxical coagulation (A)</p> Signup and view all the answers

What is a potential consequence of DIC?

<p>Organ failure (B)</p> Signup and view all the answers

What is a possible consequence of stagnation of capillary flow from prolonged hypotension?

<p>Tissue and cell ischemia (A)</p> Signup and view all the answers

What should not be used for FFP and other clotting factors?

<p>Used blood-giving sets (B)</p> Signup and view all the answers

Why is heparin given to patients with DIC?

<p>To prevent further thrombus formation and stimulate the release of endogenous clotting factors (C)</p> Signup and view all the answers

What is a common complication of DIC that requires fluid replacement?

<p>Hypovolemia (A)</p> Signup and view all the answers

What is the primary goal of nursing interventions in DIC?

<p>To reduce complications from trauma, sepsis, and bleeding (C)</p> Signup and view all the answers

Which of the following nursing interventions may provoke hemorrhage?

<p>Turning and endotracheal suction (C)</p> Signup and view all the answers

How often should the patient's cardiac, respiratory, and neurologic status be monitored initially?

<p>Every 30 minutes (D)</p> Signup and view all the answers

What is the recommended position for the patient to maximize chest expansion?

<p>Semi-Fowler's position (A)</p> Signup and view all the answers

What is the primary goal of administering supplemental oxygen in DIC?

<p>To prevent hypoxemia (C)</p> Signup and view all the answers

What should be monitored hourly when administering blood products to a patient with DIC?

<p>Intake and output (D)</p> Signup and view all the answers

Why are electric shavers preferred over wet shaves in patients with DIC?

<p>To reduce the risk of bleeding (C)</p> Signup and view all the answers

What is a potential complication of DIC that nurses should assess for?

<p>Pulmonary emboli (D)</p> Signup and view all the answers

Why should foam sticks be used instead of toothbrushes in patients with DIC?

<p>To reduce bleeding risk (D)</p> Signup and view all the answers

What is the purpose of lubricating the skin and lips in patients with DIC?

<p>To prevent cracking (C)</p> Signup and view all the answers

What is an important aspect of nursing care for patients with DIC?

<p>Providing emotional support (B)</p> Signup and view all the answers

Which laboratory finding specifically supports a tentative diagnosis of DIC?

<p>Prolonged PT (C)</p> Signup and view all the answers

Which organ is primarily associated with ARDS and pulmonary hypertension in DIC?

<p>Lungs (B)</p> Signup and view all the answers

What is the recommended initial treatment strategy for DIC?

<p>Stopping the triggering process (C)</p> Signup and view all the answers

What symptom might indicate cerebral involvement in DIC?

<p>Confusion (B)</p> Signup and view all the answers

What is a common consequence of vascular fibrin deposits in the kidneys during DIC?

<p>Intrarenal failure (C)</p> Signup and view all the answers

Which laboratory result indicates a decreased platelet count in DIC?

<p>Less than 100,000/μL (D)</p> Signup and view all the answers

What nutrient is suggested to restore endogenous hemostasis in DIC?

<p>Vitamin K (C)</p> Signup and view all the answers

How should platelet infusions be handled to prevent damage during administration?

<p>Given quickly through dedicated administration sets (B)</p> Signup and view all the answers

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