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7 Cards in this Set
- Front
- Back
DIC is characterized by what?
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-thrombosis and hemorrhage at the same time
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What are 2 common causes of DIC?
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-sepsis and trauma
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DIC is caused by activation of what?
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-coagulation, fibrinolytic system and platelet system
-results from activation of coagulation cascade due to exposure of blood to procoagulants |
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Acute DIC:
1-associated with what? 2-most common symptom? 3-severe organ damage is caused by what? 4-thrombosis of what is rare 5-what causes jaundice 6-what CNS problems? |
1-associated with sepsis, trauma, and burns
2-most common symptoms is bleeding 3-organ damage is caused by microvascular thrombosis in arterial and venous system 4-major vessels is rare 5-hepatocellular dysfunction causes jaundice 6-coma, delirium, transient focal defects, meningeal signs |
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Chronic DIC:
1-more or less common? 2-usually associated with what? 3-what is rare? 4-what is most common presentation? |
1-less common
2-associated with solid tumor, especially adenocarcinoma 3-bleeding is rare 4-MC presentation is DVT with or without PE and superficial migratory thrombophlebitis |
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Dx of DIC:
1-what is seen on peripheral smear? 2-what is elevated? 3-what is decreased? 4-PT and PTT are what? |
1-schistocytes on peripheral smear
2-fibrin degradation products and d-dimer are elevated 3-fibrinogen is decreased 4-prolonged PT and PTT |
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What is the tx for DIC?
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-replace platelet and clotting factors as needed
-tx underlying cause -fibrinogen replaced with cryo; FFP for everything else |