DISSMINATED INTRAVASCULAR COAGULATION

Question 1

• or Consumptive Coagulopathy
• An acquired disorder of blood clotting in which the fibrinogen level
  falls to below effective limits.

Answer 1

disseminated intravascular coagulation

Question 2

• A serious disorder in which the proteins that control blood clotting
  become abnormally active.
• Early symptoms include easy bruising or bleeding from an
  intravenous site.

Answer 2

DIC

Question 3

• DIC is a common contributor to maternal morbidity and mortality and is associated with up to ___% of maternal deaths

Answer 3

25%

Question 4

most common cause for DIC

Answer 4

abruptio placenta

Question 5

s/sx of DIC

Answer 5

• spontaneous bleeding
• oozing excessive bleeding
• petechiae
• bruising
• hematuria
• GI bleeding
• tachycardia
• diaphoresis

Question 6

increased or decreased?

• platelets
• fibrinogen
• factor VI (proaccelerin)
• factor VIII (antihemolytic factor)

Answer 6

decreased

Question 7

true or false - prothrombin time and partial PT is unaffected

Answer 7

false - it is prolonged

Question 8

*When the insult was a
complication of pregnancy such
as premature separation of the
placenta = ???

Answer 8

ending the pregnancy thru delivery of the fetus and placenta

Question 9

what is given when diagnosed with DIC?

Answer 9

• vit K
• recombinant activated factor VII
• fibrinigen conc.
• prothrombin complex conc.
• tranexamic acid
• hemostatic agents

Question 10

*___ may be administered through a tight-fitting
rebreathing mask at 8 to 10 L/min, or per hospital
protocol or physician order.

Answer 10

oxygen

Question 11

___ must be given cautiously close to birth or
postpartum hemorrhage could occur from poor
clotting after delivery of the placenta

Answer 11

heparin