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DIC Case Study

The document provides an assessment, goals, interventions, and rationale for a patient experiencing disseminated intravascular coagulation (DIC). It outlines signs and symptoms the patient may report like prolonged bleeding and easy bruising. Interventions like platelet concentrate, cryoprecipitates, fresh frozen plasma, and heparin are proposed to address low platelet count, prolonged clotting times, low fibrinogen levels, and the risk of thrombosis based on diagnostic test results.

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264 views3 pages

DIC Case Study

The document provides an assessment, goals, interventions, and rationale for a patient experiencing disseminated intravascular coagulation (DIC). It outlines signs and symptoms the patient may report like prolonged bleeding and easy bruising. Interventions like platelet concentrate, cryoprecipitates, fresh frozen plasma, and heparin are proposed to address low platelet count, prolonged clotting times, low fibrinogen levels, and the risk of thrombosis based on diagnostic test results.

Uploaded by

Julia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Running head: ADULT HEALTH 1 ASSIGNMENT 1

Disseminated Intravascular Coagulation (DIC)

Assessment: Goals: Interventions: Rationale: Evaluation:

Include medications What is the reason for the


interventions?
Patient Image: Include an image 1.By discharge date, 1.Assess the patient’s 1.Hypotension and tachycardia 1.Strong, palpable
that demonstrates the patient’s the patient will have heart rate and blood are signs that indicate a pulses, reduced/no pain
expected physical appearance. adequate tissue pressure. Observe for reduction in cardiac output. reported, affected area is
perfusion in the signs of orthostatic Orthostatic hypotension dry, and adequate
affected area. hypotension. indicates that the body is not capillary refill.
2.By the end of the 2.Monitor hemoglobin circulating fluid as much as it 2.Check the O2
shift, the patient will and hematocrit levels. should. saturation monitor,
have adequate 3.Assess for chest pain 2.Decreased hemoglobin and adequate LOC with
oxygenation saturation and shortness of breath. hematocrit levels are orientation x4, patent
of at least 95% or 4.Platelet concentrate correlated with bleeding from airways, and equal
higher. when platelets are DIC. inspiration and
3.By the end of the rapidly declining or are 3.Blood clots may form in the expiration.
shift the patient will less than 20,000 blood vessels of the lungs and 3.Adequate PT, PTT, and
experience no bleeding 5.Give cryoprecipitates if heart therefore blocking the fibrin levels reported
and adequate levels of fibrinogen level is blood flow that can cause back from the patient’s
coagulation. declining rapidly or less these. labs. Heart rate and
than 100 mg/dL 4.Giving platelet concentrates blood pressure within
6.Give fresh frozen will correct thrombocytopenia normal range. No signs
plasma for rapidly which can occur in rapidly of internal bleeding,
evolving DIC progressing DIC when monitoring skin for signs
7.Give Heparin for bleeding and hemorrhaging of bleeding.
slowly evolving DIC occur in critical locations
5.Giving cryoprecipitates will
Running head: ADULT HEALTH 1 ASSIGNMENT 2

Subjective: what symptoms will the replace fibrinogen and factor


patient report? VIII and help stop
hemorrhagic bleeding from
- “It takes very long time to stop rapidly evolving DIC
bleeding whenever I have cuts and 6.Giving fresh frozen plasma
I bruise very easily” (prolonged is indicated when rapidly
bleeding) progressing DIC causes either
- “I noticed I had more red spots severe bleeding or bleeding in
on my legs and arms” a critical location and it will
- “Sometimes I feel a little short of increase clotting factors and
breath” natural anticoagulants
- “Sometimes my cuts don’t ever 7.Heparin is indicated for
stop bleeding. It’s like they stop slowly progressing DIC as a
bleeding out, but my cuts stay wet preventative for venous
and ooze.” thrombosis or pulmonary
- “I have a rash on my ankles with embolism
lots of red dots.”
- “The dots are getting darker on
my body”
Objective: what signs will you
expect to see? What assessments
will you do? What diagnostic tests
will you anticipate? What are the
expected results of those tests?
Signs:
-Rash
-Petechiae
-Purpura
-Persistent bleeding and oozing
from injury on left shin
-Hemorrhaging
-SOB
Running head: ADULT HEALTH 1 ASSIGNMENT 3

Assessment:
-Skin assessment
-Full set of vitals
-Respiratory assessment
-Cardiac assessment

Diagnostic tests: Expected Result


Low Platelet count: <50 x 10^9 / L
Prolonged PT: over 3-6 seconds
Prolonged PTT: over 35 seconds

Low Plasma Fibrinogen


(coagulation factor):
less than <1 g/L

D-dimer (thrombotic/thrombosis):
greater than >500 ng/mL

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