DIC shortened concept map PDF

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Summary

concept map on the pathophysiology of disseminated intravascular coagulation for postpartum mothers...

Description

Disseminated Intravascular Coagulation Predisposing Factors  

Precipitating Factors

CONCEPT MAP

  

35 years old Female

Primigravida Hypertensive Chain Smoking for 5 years

BP :140/70mmHg, HR: 86/minute, Temp: of 37.8c RR: 20 breaths per minute.

Decreased resiliency of the blood vessel at placental bed

Trauma (Tissue Destruction & Endothelial Injury)

Torn or ruptured blood vessels

FHT: 140 BPM Mild Pallor

Extrinsic Pathway

Clotting Process Activation

Intrinsic Pathway

Pedal Edema

Acute Pain release of platelet cells and Thrombin Generation

Legend Normal Physiology Abnormal Physiology

Release of Tissue Thromboplastin from the liver

Chemical Reaction Nursing Diagnosis Medical Management

Influx of Calcium Ion from within the cell

Conversion of Clotting Factor X to Clotting Factor Xa

Precipitating and Predisposing Factors Diagnostic Tests Vital Signs

Introduction of Factor V

Platelet phospholipid release

Activation of prothrombin

Conversion to Thrombin

Platelet Consumption

Activated Protein

Diagnostic Tests CBC

Thrombocytopenia Plasminogen Activators

Blood Smear PT & PTT D-Dimer Clotting Factor Degradation

Fibrinogen Nursing Diagnosis Ineffective tissue perfusion

Plasmin Bleeding

Risk for fluid volume deficit Deficient knowledge

BP :90/58mmHg, HR: 156/minute, Temp: of 36.3c RR: 24 breathes per minute. She is experiencing dizziness and chest pain

Medical Management Treatment of Underlying Condition (Abruptio Placenta) Replacement therapy with Platelet Concentrate, Fresh Frozen Plasma, Cryoprecipitate Transfusion

Plasminogen

Plasmin Inhibitors

Fibrin Migration of All Available Clotting Factors to site of I j

Susceptibility to bleeding risk at other sites of the body

Risk for infection

Fibrinolysis

Fibrin Degradation (Inhibit the release of Thrombin and Platelet aggregation)...