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