Disseminated Intravascular Coagulation Precipitating Factors

Predisposing Factors CONCEPT MAP  Primigravida

 35 years old  Hypertensive
 Female  Chain Smoking for 5 years

Decreased resiliency of the blood vessel at placental bed BP :140/70mmHg,

HR: 86/minute,
Temp: of 37.8c RR:
Trauma (Tissue 20 breaths per
Torn or ruptured blood Destruction & minute.
vessels Endothelial
Injury) FHT: 140 BPM

Mild Pallor
Extrinsic Pathway Clotting Process Intrinsic
Activation Pedal Edema
Pathway

Acute Pain

release of platelet cells and Thrombin Generation Legend

Normal Physiology

Abnormal Physiology

Release of Tissue Thromboplastin from Chemical Reaction

the liver Nursing Diagnosis

Medical Management

Precipitating and
Influx of Conversion of Clotting Factor X to Clotting Predisposing Factors
Calcium Ion Factor Xa
from within the Diagnostic Tests
cell
Vital Signs
Introduction of Factor V

Platelet phospholipid release

Conversion to
Activation of prothrombin Thrombin
 Platelet Consumption Activated Protein

Diagnostic
Tests

CBC Thrombocytopenia
Plasminogen
Blood Smear Activators
PT & PTT

D-Dimer
Clotting Factor Plasminogen
Fibrinogen Degradation

Nursing Diagnosis Plasmin

Ineffective tissue
perfusion Bleeding Plasmin Inhibitors

Risk for fluid volume

deficit Fibrin
Deficient knowledge Migration of All
Available Clotting
Fibrinolysis
Factors to site of
BP :90/58mmHg,
Injury
HR: 156/minute,
Temp: of 36.3c RR: Fibrin Degradation
24 breathes per (Inhibit the release
minute. Susceptibility to bleeding
of Thrombin and
risk at other sites of the
She is experiencing Platelet
body
dizziness and chest aggregation)
pain

Risk for infection

Medical
Management

Treatment of
Underlying Condition
(Abruptio Placenta)

Replacement
therapy with Platelet
Concentrate, Fresh
Frozen Plasma,
Cryoprecipitate
Transfusion