Podcast
Questions and Answers
What is a common clinical manifestation of thrombocytopenia?
What is a common clinical manifestation of thrombocytopenia?
Which of the following conditions is a risk factor for developing thrombocytopenia?
Which of the following conditions is a risk factor for developing thrombocytopenia?
Which diagnostic test is commonly used to evaluate thrombocytopenia?
Which diagnostic test is commonly used to evaluate thrombocytopenia?
What is a recommended nursing intervention for a patient with thrombocytopenia?
What is a recommended nursing intervention for a patient with thrombocytopenia?
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Which complication is associated with thrombocytopenia?
Which complication is associated with thrombocytopenia?
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Which of the following is NOT a risk factor for thrombocytopenia?
Which of the following is NOT a risk factor for thrombocytopenia?
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What is a common cause of idiopathic thrombocytopenia purpura in children?
What is a common cause of idiopathic thrombocytopenia purpura in children?
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Which nursing intervention is important to minimize the risk of injury in patients with thrombocytopenia?
Which nursing intervention is important to minimize the risk of injury in patients with thrombocytopenia?
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Which of the following nursing diagnoses is commonly associated with thrombocytopenia?
Which of the following nursing diagnoses is commonly associated with thrombocytopenia?
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Which condition is characterized by an immune response to heparin, leading to thrombocytopenia?
Which condition is characterized by an immune response to heparin, leading to thrombocytopenia?
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Study Notes
Thrombocytopenia
- 3.8 million patients in the US
- Affects platelet count
- Caused by various conditions including malignancy, infection, medications, autoimmune conditions, and DIC
Risk Factors
- Malignancy
- Infection
- Medications
- Autoimmune conditions
- Disseminated Intravascular Coagulation (DIC)
Pathophysiology
- Idiopathic Thrombocytopenic Purpura (ITP): Often follows viral infection or immunization in children
- Hemophilia: Deficiency of Factor VIII or Factor IX
- Heparin-Induced Thrombocytopenia (HIT): Immune response to heparin
Clinical Manifestations
- Decreased platelet count
- Easy bruising
- Petechiae
- Bleeding
Medical Management - Diagnosis
- Complete Blood Count (CBC) with manual differential
- Coagulation studies
- Bone marrow biopsy
Medical Management - Treatment
- Resolution of underlying condition
- Replacement of clotting factors
- Discontinue heparin
- Platelet transfusions to increase platelet count.
Complications
- Hemorrhage
Nursing Management - Assessment and Analysis
- Assess for signs and symptoms of low platelets
Nursing Management - Nursing Diagnoses
- Risk of injury
- Risk for ineffective therapeutic regimen
- Fear
Nursing Interventions - Assessments
- Platelet count
- Ecchymosis (bruising)
- Petechiae/purpura
- Frank bleeding
Nursing Interventions - Actions
- Implement bleeding precautions
- Minimize blood loss
- Avoid intramuscular injections
- Avoid rectal temperatures
- Provide safe environment
- Use minimal inflation with blood pressure measurements
- Minimize blood draws
Nursing Interventions - Teaching
- Instruct patient/family on bleeding precautions
- Advise against sexual intercourse when platelet count is low
Thrombocytopenia Epidemiology
- The text doesn't state the source of that 3.8 million statistic.
- There are 3.8 million patients in the US with thrombocytopenia.
Thrombocytopenia Risk Factors
- Malignancy
- Infection
- Medications
- Autoimmune conditions
- Disseminated intravascular coagulation (DIC)
Thrombocytopenia Pathophysiology
- Idiopathic thrombocytopenic purpura (ITP)
- Can occur following viral infection or immunization in children
- Hemophilia
- A deficiency of either coagulation factor VIII or IX
- Heparin-induced thrombocytopenia (HIT)
- An immune response to heparin
Thrombocytopenia Clinical Manifestations
- Decreased platelets
- Easy bruising
- Petechiae
- Bleeding
Thrombocytopenia Medical Management - Diagnosis
- Complete blood count (CBC) with manual differential
- Coagulation studies
- Bone marrow biopsy
Thrombocytopenia Medical Management - Treatment
- Resolve the underlying condition
- Replace clotting factors
- Discontinue heparin
Thrombocytopenia Complications
- Hemorrhage
Thrombocytopenia Nursing Management - Assessment and Analysis
- Signs and symptoms of low platelets
Thrombocytopenia Nursing Management - Nursing Diagnoses
- Risk for injury
- Risk for ineffective therapeutic regimen
- Fear
Thrombocytopenia Nursing Interventions - Assessments
- Platelet count
- Ecchymosis
- Petechiae/purpura
- Frank bleeding
Thrombocytopenia Nursing Interventions - Actions
- Implement bleeding precautions
- Minimize blood loss
- Avoid intramuscular injections
- Avoid rectal temperatures
- Provide a safe environment
- Use minimal inflation with blood pressure
- Minimize blood draws
Thrombocytopenia Nursing Interventions - Teaching
- Instruct patients/families on bleeding precautions
- Avoid sexual intercourse when platelet counts are low
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Description
This quiz covers the essential aspects of thrombocytopenia, including its causes, risk factors, pathophysiology, clinical manifestations, and medical management. Test your knowledge on how to diagnose and treat this condition effectively. Prepare yourself for clinical scenarios related to platelet disorders.
