DIC Bleeding???

  1. Let's see if I understand this. DIC uses up the clotting factors and that results in clots until the clotting factor is gone. Then the person starts bleeding because they don't have clotting factor. By giving heparin, we slow down the process of clotting because the blood is thinner. Because the person is making tiny clots that block small vessels, the heparin will stop the clots from forming.

    By stopping the clots from forming, the heparin allows the body to start making clotting factors.

    Is this right or am I still out in left field?

    Thanks!!

    --------------------------------------------

    In His Grace,

    Karen

    Failure is NOT an option!!
  2. Visit kwagner_51 profile page

    About kwagner_51

    Joined: Jun '03; Posts: 766; Likes: 53
    Home Health Nurse
    Specialty: Geriatrics, Pediatrics, Home Health

    17 Comments

  3. by   SusanJean
    From my limited knowledge, that sounds about right. Have never seen this, hope I never do --
    Also understand pts have generally poor outcome, even w/ tx.
  4. by   bonjovigirl
    As was explained to me recently when I was caring for a DIC patient (in school clinical). THe body only has so much clotting factor, and it is used up in those tiny clots. Heparin releases those clots, freeing up the factor for when it is needed? seems like a catch 22.
  5. by   renerian
    My mom died of DIC with fleshing eating bacterial infection from a small cut on her leg from a garbage can. Disgusting way to die. Most gruesome thing I ever saw in my life.

    renerain
  6. by   jnette
    Quote from renerian
    My mom died of DIC with fleshing eating bacterial infection from a small cut on her leg from a garbage can. Disgusting way to die. Most gruesome thing I ever saw in my life.

    renerain
    OMG, Renerian. :stone

    I'm so sorry.
  7. by   SmilingBluEyes
    (((ren)))
  8. by   dazzle256
    Quote from renerian
    My mom died of DIC with fleshing eating bacterial infection from a small cut on her leg from a garbage can. Disgusting way to die. Most gruesome thing I ever saw in my life.

    renerain
    Oh I'm so sorry
  9. by   renerian
    Thanks. 22 units of blood as many platlets, FFP nothing worked. She was doomed as it overwhelmed her body/sepsis. She had 2 surgeries to remove dying tissue and the surgeon said it was dying as he was cutting. We ended up taking her off life support and she died in 20 minutes. She was necrotic all the way up/entire body other than 1/2 of her face. Even the nurses and doctors were very disturbed. She died within 24 hours of the infection starting.


    renerian
  10. by   jnette
    Quote from renerian
    Thanks. 22 units of blood as many platlets, FFP nothing worked. She was doomed as it overwhelmed her body/sepsis. She had 2 surgeries to remove dying tissue and the surgeon said it was dying as he was cutting. We ended up taking her off life support and she died in 20 minutes. She was necrotic all the way up/entire body other than 1/2 of her face. Even the nurses and doctors were very disturbed. She died within 24 hours of the infection starting.


    renerian
    OMG, Renerian... I had heard of this kind of necrotizing bacteria, but I had no idea it devoured so quickly and completely !!! How horrid for you, your poor mother, and the entire family. I cannot begin to imagine.
  11. by   SmilingBluEyes
    An article on DIC and the paradox of how it works for the OP:

    (it is told from an OB standpoint, but the "rules" of play still apply):

    http://www.rnceus.com/coag/coagbt.html


    and another good one:
    http://www.nursingcenter.com/prodev/...asp?tid=504846

    hope this helps you understand it better.
  12. by   mattsmom81
    Quote from jnette
    OMG, Renerian... I had heard of this kind of necrotizing bacteria, but I had no idea it devoured so quickly and completely !!! How horrid for you, your poor mother, and the entire family. I cannot begin to imagine.
    I too am so sorry Renerian...what an awful thing for your family.
  13. by   renerian
    Very nice of you to post to me about my mom. I appreciate that. I am very glad it is behind me.

    I would never look at that illness the same again.

    Thanks blue eyes for the links.

    renerian
  14. by   mattsmom81
    I remember my first patient in DIC, a young woman...and I was terrified I was going to lose her. It was back in the early 80's, at a small hospital, and the young OB GYNand his staff were literally shaking when they brought her to me in ICU. Its a very scary situation for sure.

    There had been fetal demise and she had carried the baby to term, expelled it, in OB, then went into full blown DIC and numerous other complications, pulmonary edema, respiratory failuire, etc. It was touch and go my whole 12 hr shift and when her labs finally 'turned the corner' and the bleeding/other life threatening symptoms eased, I can still remember my relief (almost 20 yrs later.) This is one of my 'never forget' patients.
    Last edit by mattsmom81 on Feb 20, '05

close