Coagulation Disorders
NP06L022
Study Guide
Reference: Adult Health Nursing, 4th Edition
Introductory Medical-Surgical Nursing, 8th Edition,p 537-539
Introduction to Critical Care Nursing, 3rd Edition
Student Study Assignment: Adult Health Nursing, 4th Edition, p252, 271-276
Introduction to Critical Care Nursing, 3rd Edition p 443-454
Terminal Learning Objective: Given a patient with a coagulation disorder,
provide safe and effective care IAW Christensen
Enabling Learning Objectives:
A: Discuss normal hemostasis
B: Compare the etiology/pathophysiology, clinical manifestations, assessment,
diagnosis, medical management, medications that may have a thrombocytopenic
effect, and nursing interventions of thrombocytopenia, hemophilia and
disseminated intravascular coagulation (DIC).
C: Describe the treatment of von -Willebrand's disease
D: Discuss the nursing process for a patient with a coagulation disorder
A: Discuss normal hemostasis
B: Compare the etiology/pathophysiology, clinical manifestations, assessment,
diagnosis, medical management, ,medications that may have a
thrombocytopenic effect, and nursing interventions of thrombocytopenia,
hemophilia and disseminated intravascular coagulation (DIC).
1. Define thrombocytopenia.
2. What are two observable signs of thrombocytopenia?
3. List four drugs that have thrombocytopenic effects.
4. Name four medical management tools for thrombocytopenia.
5. Name five nursing interventions associated with thrombocytopenia.
Coagulation Disorders
NP06L022
Study Guide
6. What is the antihemophilic factor and what does it do?
7. Discuss the genetic issues associated with hemophilia.
8. Define hemarthrosis.
9. Discuss the medical management associated with hemophilia.
10. List two precipitating causes for DIC for obstetrical, neoplastic,
hematological, trauma, and other categories.
11. Define DIC.
12. What are two essential nursing measures for DIC?
C: Describe the treatment of von -Willebrand's disease
Coagulation Disorders
NP06L022
Study Guide
D: Discuss the nursing process for a patient with a coagulation disorder
1. Fill in three nursing interventions for each diagnosis.
Nursing Diagnosis
Altered tissue perfusion,
related to hemorrhage
Outcomes
Patient will maintain
adequate perfusion to all
tissues
Fluid volume deficit,
related to
hemorrhage
Patient will maintain normal
volume status
Pain, related to
thrombosis
Patient will verbalize
adequate pain control
Nursing Interventions