Nursing care of 6 patients with severe aplastic anemia complicated with DIC
- VernacularTitle:6例重型再生障碍性贫血合并弥漫性血管内凝血患者的护理
- Author:
Qin ZHOU
- Keywords:
Anemia;
Aplastic;
Disseminated Intravascular Coagulation;
Nursing Care
- From:
Chinese Journal of Nursing
2017;52(z1):90-92
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized the nursing care of 6 patients with severe aplastic anemia complicated with DIC. The risk of sepsis and severe pneumonia can be reduced through actively nursing and preventing of oral,res-piratory,skin and perianal infections. The chances of bleeding from the skin,nose,and mouth can be reduced by less skin puncture,local medication,cold compresses and compression. Also by monitoring the coagulation indexes, estimating the phase of DIC and observing the bleeding manifestations. Through controlling heparin dripping rate, monitoring coagulation index,reporting to doctors at any time and knowing how to deal with heparin overdose,can increase the safety of heparin administration and improve the clinical application rate of early DIC heparin therapy. Psychological guidance can reduce the risk of cerebral hemorrhage caused by excessive exertion and accidental fall. After treatment and careful nursing,6 patients improved,5 cases were discharged,and 1 case died.
