What management might you expect for this patient specific to the diagnosis of DIC?
What will be an ideal response?
Suggested response: There is no definitive treatment for DIC. Treating the underlying disease process is essential, although not possible in this case study. Supportive therapy is required including mechanical ventilation, fluid replacement and pharmacological support. Transfusion of blood and blood components might be necessary if there is a high risk of active bleeding. Platelets can help correct thrombocytopenia and fresh frozen plasma provides fibrinogen, although the use of blood products in DIC is controversial. Vitamin K can be used to enhance production of clotting components. Heparin can be administered, as was in this case study, to interrupt the intravascular generation of thrombin and prevent further clotting in the microvasculature. Nursing management should focus on minimising the risk of bleeding.
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