Result of motorcycle-tree crash

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Reference no: EM133919853

SCENARIO

Mark P., 32 years old, is in the trauma intensive care unit (TICU) as the result of a motorcycle-tree crash. Mark has multiple fractures and contusions. On ICU Day seven (7), Mark's status begins to deteriorate, and it is determined that he has developed sepsis. On ICU Day eight (8), the nurse notes petechiae on Mark's trunk. In addition, oozing of blood is noted from several discontinued intravenous insertion sites and suture lines. The nurse suspects that Mark 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.

QUESTIONS

Briefly explain the basis for the nurse's suspicion that Mark has developed DIC?

For each lab ordered by the intensivist:

a. Indicate whether the value would be abnormally elevated or decreased if Mark has DIC.

b. Explain what is going on to cause this lab value change.

Reference no: EM133919853

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