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Author Question: A child is in the pediatric intensive care unit with disseminated intravascular coagulation (DIC). ... (Read 57 times)

segrsyd

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on: Jun 28, 2018
A child is in the pediatric intensive care unit with disseminated intravascular coagulation (DIC). What laboratory findings correlate with this condition? (Select all that apply.)
 
  A.
  Decreased PTT
  B.
  Increased D-dimer
  C.
  Increased fibrinogen
  D.
  Low platelet count
  E.
  Normal white blood cell count

Question 2

The pediatric nurse knows that which of the following might be included in the collaborative care of children with mild to moderate anemia? (Select all that apply.)
 
  A.
  Administration of epopoietin alfa (Epogen)
  B.
  Blood product transfusions
  C.
  Bone marrow transplantation
  D.
  Routine laboratory analysis
  E.
  Supplements and iron-rich diet


hollysheppard095

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B, D
Laboratory findings consistent with DIC include prolonged PT and PTT, elevated D-dimer, low fibrinogen, and low platelet count. The WBCs are not diagnostic for DIC.

Answer to Question 2

ANS: A, B, D, E
Collaborative care for the anemic child depends on the nature of the anemia, but includes colony-stimulating factors such as Epogen, transfusions, routine laboratory draws, iron supplements, and a nutritious diet rich in iron. Bone marrow transplantation is an option only for severe cases, such as aplastic anemia.


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