Pregunta
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The nurse is caring for a 34 -year-old obstetric patient who has disseminated intravascular
coagulation (DIC). The nurse is aware that DIC is:
a malignant disorder characterized by painless, progressive enlargement of lymphoid tissue.
a deficiency of the number of circulating platelets with thrombocytopenia present.
an acquired hemorrhagic syndrome of clotting cascade overstimulation and anticlotting processes.
a hereditary coagulation disorder in which factor VIII is absent.

Ask by Sherman Ryan. in the United States
Mar 27,2025

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DIC is an acquired hemorrhagic syndrome caused by overstimulation of the clotting cascade and activation of anticlotting processes.

Solución

  1. Identify DIC:
    Disseminated Intravascular Coagulation (DIC) is a condition that involves widespread activation of the clotting cascade. This results in the formation of numerous clots throughout the small blood vessels in the body.
  2. Pathophysiology:
    In DIC, the extensive clotting depletes platelets and clotting factors. This leads to an increased risk of bleeding because the factors needed for clot formation are consumed. The result is an acquired hemorrhagic syndrome.
  3. Analyzing the Options:
    • Option A: Refers to a malignant disorder with lymphoid tissue enlargement, which is unrelated to DIC.
    • Option B: Describes thrombocytopenia due to a deficiency in circulating platelets, which is not the primary description of DIC although platelet consumption does occur.
    • Option C: Accurately describes DIC as an acquired hemorrhagic syndrome involving overstimulation of the clotting cascade and subsequent activation of anticlotting processes.
    • Option D: Describes a hereditary disorder with absence of factor VIII, which refers to Hemophilia A, not DIC.
  4. Conclusion:
    The correct answer is:

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Bonus Knowledge

DIC, or disseminated intravascular coagulation, is indeed an acquired hemorrhagic syndrome where the body’s normal clotting processes are activated inappropriately, leading to both the formation of blood clots throughout the small blood vessels and an increased risk of severe bleeding due to consumed clotting factors and platelets. This condition can arise from various triggers including severe infections, trauma, or complications in pregnancy, which highlights the need for careful monitoring and management in an obstetric setting.
In practice, early recognition and intervention are crucial when dealing with DIC. Nurses should be vigilant for signs of bleeding and clotting abnormalities, as well as work closely with the healthcare team to assess laboratory values and initiate appropriate therapies to manage the condition. Common pitfalls include overlooking subtle signs of bleeding, so maintain a high index of suspicion and proactive approach in treatment to ensure the best possible outcomes for patients.

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