Concept Map – CONTENT

NF RLE - 2 Idiopathic Thrombocytopenia Purpura

BSN – NF April 4, 2022

• Brief definition of the disease condition

- idiopathic thrombocytopenic purpura, also called as immune thrombocytopenia, is an
immune blood disorder that is characterized by a decreased platelet count

• Disease Process
- the immune system is stimulated to attack the body’s platelets  impared platelet
production  platelet deficiency  delayed blood clotting)

• Predisposing Factors
1. Autoimmune disease
2. Bone marrow diseases
3. Cancer treatment
4. Enlarged spleen
• Precipitating Factors
1. Alcoholism
2. Exposure to toxic chemicals
3. HIV
4. Antibiotics
5. Infection
• Signs and Symptoms
1. Easy or excessive bruising (Purpura)
2. Petechiae,
3. Nosebleeds
4. Bleeding in the mouth and/or in and around the gums
5. Heavy menstrual periods for women
6. Blood in the urine, vomit, or stool
7. Prolonged bleeding from cuts
8. Fatigue
9. Enlarged Spleen

• Nursing Diagnosis
1. Risk for bleeding related to decreased platelet count.
2. Risk for injury related to abnormal blood profile.
3. Risk for ineffective protection related to altered kinesthetic perception.
4. Risk for infection related to suppression of the immune system by steroids.

• Healthcare Management
Medical Management
1. Splenectomy
2. Platelet Transfusion
3. Consultation
Pharmacologic Management
1. Glucocorticoids
2. Blood Products
3. Thrombopoietic
Nursing Management
1. Bleeding Prevention
2. Injury Prevention
3. Infection Prevention

• Diagnostic Tests/Exams
1. Complete Blood Count
2. Additional Blood and Urine Tests
3. Imaging Studies