DIC .pdf

Disseminated Intravascular Coagulation Med Surg: Hematology Pathophysiology Causes DIC is a deadly complication that begins rapidly, causing DIC is not a disease itself, it occurs as a complication from both severe bleeding & blood clots inside...

Disseminated Intravascular Coagulation Med Surg: Hematology Pathophysiology Causes DIC is a deadly complication that begins rapidly, causing DIC is not a disease itself, it occurs as a complication from both severe bleeding & blood clots inside blood vessels another disease like: leading to organ failure. These abnormal clots use up the Infection & Sepsis (blood infection) blood's clotting factors, which leaves the body with no After major trauma means to stop bleeding! Shock (severely low blood pressure) Cancer & Neoplastic disease (tumors) Signs & Symptoms OB complications Think bleeding & blood clots! Treatments Severe bleeding everywhere Skin bleeding Petechiae & Purpura (purple spots on skin) Priority = Treat underlying cause! Eyes, gums, nose bleeding (epistaxis) Then blood transfusion Urine blood (hematuria) Packed RBC (to replace blood loss) Stool blood “black tarry stool” (Melena) FFP - Fresh frozen plasma (replaced deficits in coag Blood Clots factors) Brain = CVA (stroke) 1 sided weakness, slurred speech, Platelets facial droop Cryoprecipitate (replaces fibrinogen) Heart = MI (heart attack) chest pain, diaphoresis Heparin (to decrease the many clot formations) Lung = PE (pulmonary emboli) difficulty breathing Leg = DVT (deep vein thrombosis) Unilateral leg swelling Education & Inteventions - 1 leg bigger than the other Monitor for bleed & do not clean clot formations Educate on bleeding risk! No razor shaving - only electric razor Labs No brushing teeth hard - only soft bristle Prolonged clotting time for PT, aPTT, INR No flossing Decreased Platelets (norm: 150 - 400k) D-dimer elevated (indicates clot risk)