Risk Factors:
- Abruption placentae
- Severe Eclampsia
- Intrauterine fetal demise
- Amniotic fluid embolism
- Hemorrhage
- HELLP syndrome
Laboratory Coagulation Screening
Test Results:
- Platelets decreased
-
-
Fibrinogen decreased
Factor V (proaccelerin)
-
decreased
Factor VIII (antihemolytic
factor) decreased
- Prothrombin time prolonged
- Partial prothrombin time
prolonged
- Fibrin degradation products
increased
- D-dimer test (specific fibrin
degradation fragment)
increased
- Red blood smear
fragmented red blood cells
Medical Management:
Clinical Manifestations:
- Correction of underlying
cause
*Removal of dead fetus
*Infection treatment
*Preeclampsia or eclampsia
treatment
*Removal of placental
abruption
- Volume replacement
- Blood component therapy
- Optimization & Oxygenation - Petechiae, for example,
perfusion status on the arm where BP cuf
- Vitamin K administration
was placed
- Recombinant activated factor
VIIa - Other signs of bruising
- Hematuria
- Gastrointestinal bleeding
Disseminated -
-
Tachycardia
Diaphoresis
Intravascular
Coagulation Nursing Interventions:
(DIC)
- Continue assessment for
- Pathologic form of
bleeding
coagulation in which
- Assess for complications
clotting factors are
from the blood or fluid
consumed to such extent
administration
that generalized bleeding
- Assessed vital signs
can occur
frequently
- Results from some
- Monitor urine output
problem that triggered
from foley catheter to
the clotting cascade
maintain UOP @30mg/hr
or more
- Monitor cardiac &
- Spontaneous bleeding
hemodynamic status
from gums, nose
- Protect the woman from
- Oozing, excessive
injury
bleeding from
- If pregnant, maintained
venipuncture site,
side-lying tilt to
intravenous access site,
maximize blood flow to
or site of insertion of
the uterus
urinary catheter
Possible Complications:
 - Damages to bodys
organs
- Renal failure
- Stroke
- Death
Reference:
Lowdermilk, D.L., Perry, S.E. &
Cashion, K. (2014). Maternity
nursing 8th edition. North Carolina.
Elsevier.
What is Disseminated Intravascular
Coagulation? Retrieved on November 14,
2016 from
http://www.nhlbi.nih.gove/health/health-
topics/topics/dic