The nurse understands that when clots breakdown in a patient with a hematological disorder, that which value will increase?
a. hemoglobin.
b. white blood cell count.
c. vitamin K.
d. fibrin split products.
D
When plasmin digests fibrinogen, fragments known as fibrin split products, or fibrin degradation products, are produced and function as potent anticoagulants. Fibrin split products are not normally present in the circulation but are seen in some hematological disorders as well as with thrombolytic therapy. Vitamin K is necessary for synthesis of factors II, VII, IX, X that are needed for clotting to occur. Hemoglobin may decrease if the patient is bleeding, and WBCs are not relevant to this scenario.
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