Dessiminated Intravascular Coagulation - Nursing Management

  1. I am a third year nursing student and I have my report in DIC by next month in our Medical-Surgical Nursing subject. I have to complete it by including a Nursing Management/Interventions. I need more references aside from our textbook. Would you help me find this?
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    About authenticlloyd

    Joined: May '08; Posts: 5; Likes: 2
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  3. by   Daytonite
    you need management of what nursing problems? dic (disseminated intravascular coagulation) is not a nursing problem. it is a medical diagnosis. dic is a complication of other medical conditions. no one gets dic without there being an underlying medical disease or condition that brought it on. what nursing problems have you determined that a patient with dic has? the real nursing problems here are those brought on by (1) the underlying cause of the dic (trauma of some type, an infection, sepsis, cancer, complications of ob) and (2) the actual symptoms and complications of the dic itself:
    • abnormal bleeding from any or all body orifices
    • bleeding into the skin (petechiae, ecchymoses, hematomas)
    • bleeding from surgical or invasive procedure sites (incisions, venipuncture sites)
    • mental status changes including confusion
    • dyspnea and tachycardia
    • potential nausea, vomiting
    • potential severe muscle, back and abdominal pain
    • chest pain
    • hemoptysis
    • epistaxis
    • seizures
    • oliguria
    • possible gi bleeding
    • hematuria
    • complications
      • renal failure
      • hepatic damage
      • stroke
      • ischemic bowel
      • respiratory distress
      • death (more than 50% die)
    you can find interventions for these by looking them up in the index of your textbooks and looking for the symptoms and treatment of it and the various complications on the websites listed on the sticky below. there is a lot of work to do as the above covers probably 8 nursing diagnoses. remember to focus on how the patient responds to the dic (all those symptoms i listed out above for you) and how nurses treat those responses. we are not doctors. the doctors treat the dic. we treat how the patient responds to the dic. we will also assist the doctors administer their treatments. keep the two kinds of interventions (independent and collaborative) very clearly defined in your presentation:
  4. by   Khinton23
    I'm a fairly new nurse and still constantly learning and refreshing. I have been reading a bit about DIC, as I had a pt and the possibility of it was mentioned in their chart. Anyway, would it be fair to say their blood becomes like curdles milk? The clots thin out the rest?
  5. by   nurseprnRN
    disseminated = widely-spread
    intravascular = inside the blood vessels
    coagulation = clotting

    i wouldn't liken it to curdled milk, and the clots don't "thin" out the rest. the effects include ischemia/infarcts where clots have stopped blood flow and uncontrolled bleeding because all the clotting factors have been used up making those clots. nasty, nasty.