NUR 445 Pointers for Exam 2022 latest update
Disseminated Intervascular Coagulation (DIC) – you will see in the hospital.
- The end all be all is that patients have no clotting ability
- We have to internally fix it – give them **FFP, until we can fix the underlining issue
o Maintain blood ...
, Disseminated Intervascular Coagulation (DIC) – you will see in the hospital.
- The end all be all is that patients have no clotting ability
- We have to internally fix it – give them **FFP, until we can fix the underlining issue
o Maintain blood products until you could fix the issue
o **Notify the doctor immediately, this is life-threatening emergency.
o Know DIC – s/s, lab values – hematocrit, hemoglobin, platelets are top.
▪ HGB – 12-18
▪ HCT – 36-54
▪ PLT – 150-400K
▪ Bleeding from nose, IV sites, rectum
▪ HR is high, RR is high
▪ pain, ischemia, stroke like symptoms, dyspnea, tachycardia, reduced
kidney function, and bowel necrosis
- This is a clotting issue, they have no clotting abilities – how do we diagnose this?
****#1 serum lab - D-Dimer for clotting. Check platelets, HNH, PTT, PT. D-Dimer is #1
clotting.
o 39. The client admitted with full-thickness burns may be developing DIC. Which
signs/symptoms would support the diagnosis of DIC?
o 1. Oozing blood from the IV catheter site.
o 2. Sudden onset of chest pain and frothy sputum.
o 3. Foul-smelling, concentrated urine.
o 4. A reddened, inflamed central line catheter site
41. Which collaborative treatment would the nurse anticipate for the client
diagnosed with DIC?
1. Administer oral anticoagulants.
2. Prepare for plasmapheresis.
3. Administer frozen plasma.
4. Calculate the intake and output.
Any Hem stuf
- Know normal lab values
- Handful of questions - who would you go see first.
- Your pt. presents with “xyz” lab values – what is the most concerning?
- Hematology lab values we have to know – INR, PT, PTT, aPTT, hemoglobin, hematocrit,
platelet, RBC
▪ PTT – 20-35 sec
▪ PT – 9.5-12 sec
▪ INR – 2-3
▪ WBC – 4.5-11
▪ RBC – 4.7-6.1
o Under blackboard Week One, NUR445 Normal Lab Values – handful of questions
o Based on a number, what are you going to do
▪ ***If your platelet is low, then your going to put on safety precautiong
(bleeding out precautions)
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