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</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)</p> Signup and view all the answers

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

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

    What is a possible trigger for Systemic Activation of Coagulation?

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

    What is a common complication of DIC?

    <p>Hypotension</p> Signup and view all the answers

    What is an early classic sign of DIC?

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

    What is a characteristic skin symptom of DIC?

    <p>Purpura</p> Signup and view all the answers

    What is a possible cause of hemorrhage in DIC?

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

    What is a potential consequence of DIC?

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

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

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

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

    <p>Hypovolemia</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</p> Signup and view all the answers

    Which of the following nursing interventions may provoke hemorrhage?

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

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

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

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

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

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

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

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

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

    Which laboratory finding specifically supports a tentative diagnosis of DIC?

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

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

    <p>Lungs</p> Signup and view all the answers

    What is the recommended initial treatment strategy for DIC?

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

    What symptom might indicate cerebral involvement in DIC?

    <p>Confusion</p> Signup and view all the answers

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

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

    Which laboratory result indicates a decreased platelet count in DIC?

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

    What nutrient is suggested to restore endogenous hemostasis in DIC?

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

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