A newly diagnosed leukemia patient begins hemorrhaging from every orifice. The physician is concerned that the patient has developed disseminated intravascular coagulation (DIC)
The nurse should anticipate which of the following orders to be prescribed for this patient? Select all that apply.
A)
Transfuse 2 units of platelets.
B)
Transfuse fresh frozen plasma.
C)
Give aspirin twice per day.
D)
Administer IV Toradol stat.
E)
Place in reverse isolation.
Ans:
A, B
Feedback:
The treatment of DIC is directed toward managing the primary disease, replacing clotting components, and preventing further activation of clotting mechanisms. Transfusions of FFP, platelets, or fibrinogen-containing cryoprecipitate may correct the clotting factor deficiency. ASA would make the bleeding worse. Toradol is an NSAID and should be avoided in patients with a bleeding problem. Reverse isolation is implemented for patients with pancytopenia.
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