Term
|
Definition
Increased
Normal 11.5-15.2 |
|
|
Term
|
Definition
Increased
Normal <1.1 if not on Coumadin |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Decreased
Normal 0 or 5-40 |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Increased fibrinogen means |
|
Definition
|
|
Term
| Decreased fibrinogen means |
|
Definition
| Not enough clotting. Bleeding |
|
|
Term
|
Definition
Hemmorrhagic/hypovolemic/septic shock
death |
|
|
Term
|
Definition
Heparin
AntiThrombin
Amicar |
|
|
Term
| Bleeding meds/interventions |
|
Definition
Give blood products, platelets, PRBC, FFP
Give clotting factors
0.9 NS to increase BP
O2 |
|
|
Term
| When do you hold blood thinners? |
|
Definition
| When pt is visibly bleeding - notify provider. They may tell you to give it anyway, document. |
|
|
Term
| Factors increasing risk for DIC |
|
Definition
CANCER
SEPSIS (most common two)
Trauma, surgery, acute injury, burns
Frost bite
Poisonous snake bite
Child birth emergencies
pancreatitis
Liver disease
Artificial devices in body - hearth valves
SIRS
Chronic DIC - most often seen with ca/tumors, body slowly compensates.
MI
Autoimmune processes, RA, ulcerative colitis, Chron’s disease
Sacroidosis |
|
|
Term
| Factors increasing risk for DIC |
|
Definition
CANCER
SEPSIS (most common two)
Trauma, surgery, acute injury, burns
Frost bite
Poisonous skate |
|
|
Term
| Most common site for clottin |
|
Definition
|
|
Term
| What med is contraindicated |
|
Definition
| Coumadin. Is non specifis |
|
|
Term
|
Definition
| ABN clotting in the small vessels leads to depletion of clotting factors which increases risk for bleeding |
|
|
Term
|
Definition
|
|
Term
| Fibrinogen activity level normal range |
|
Definition
|
|
Term
| Low levels of fibrinogen correlate with |
|
Definition
| DIC, lower levels = DIC increases |
|
|
Term
|
Definition
| Show less activation of secondary fibrinolysis, explains organ failure |
|
|
Term
| Fibrinogen activity level measures.... vs fibrinogen |
|
Definition
| FAL = how well does the blood clott, how well is fibrinogen working |
|
|
Term
|
Definition
12-14 seconds
Increased with heparin, FDP’s or with fibrinogen defiency |
|
|
Term
| Fibrinogen degregation products are |
|
Definition
| What is left over after a clot dissolves |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Indicates clotting (subtype = d-dimmer) |
|
|
Term
|
Definition
| Body is. not breaking down clots properly |
|
|
