MP, a 32-year-old man, is in the

MP, a 32-year-old man, is in the trauma intensive care unit (TICU) as the result of a motorcycle-tree crash. MP has multiple fractures and contusions. On ICU day 7, MP’s status begins to deteriorate, and it is determined that he has developed sepsis. On ICU day 8, the nurse notes petechiae on MP’s trunk. In addition, oozing of blood is noted from several discontinued intravenous insertion sites and suture lines. The nurse suspects that MP may be developing disseminated intravascular coagulation (DIC) and contacts the intensivist. The following labs are ordered: bleeding time, platelet count, PT and aPTT, factor I (fibrinogen), fibrin degradation product (FDP), and D-dimer. Briefly explain the basis for the nurse’s suspicion that MP has developed DIC. For each lab ordered by the intensivist: (a) indicate whether the value would be abnormally elevated or decreased if MP has DIC, and (b) explain the rationale for the abnormality. Image transcription text Lab Test (units) (a) Elevated (b) Reason for or Decreased Abnormality Bleeding time (minutes) Platelet count (cells) Prothrombin (PT… Show more 3. MP develops oliguria (abnormally low urine output) and azotemia (elevated serum nitrogen waste products) as a result of his DIC. Briefly explain the significance of this problem and how it can result from DIC. 4. MP’s platelet count is 45,250 and his latest laboratory values show that he has significant hypofibrinogenemia. What interventions can the nurse anticipate in response to these values? 5. While providing supportive therapy for MP, what is the most important goal for treating his DIC? Wagner et al., Instructor’s Resource Manual for High-Acuity Nursing, 7th Edition

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