Management of Postpartum Patients with DVT and PE
Management of Postpartum Patients with DVT and PE ( 5 Questions)
A nurse is reviewing the laboratory results of a postpartum client who has idiopathic thrombocytopenic purpura (ITP).
Which of the following findings should the nurse expect?
This is because idiopathic thrombocytopenic purpura (ITP) is a disorder that causes the immune system to destroy the platelets, which are blood cells that help control bleeding.
PT measures how long it takes for the blood to clot.
Fibrinogen is a protein that helps form blood clots.
PTT measures how long it takes for the blood to clot.
Decreased platelet count. This is because idiopathic thrombocytopenic purpura (ITP) is a disorder that causes the immune system to destroy the platelets, which are blood cells that help control bleeding.
Therefore, a person with ITP will have a low number of platelets in their blood.
Increased prothrombin time (PT) is wrong because PT measures how long it takes for the blood to clot.
A high PT means that the blood clots too slowly, which can be caused by liver disease, vitamin K deficiency, or blood-thinning medications. ITP does not affect the PT.
Decreased fibrinogen level is wrong because fibrinogen is a protein that helps form blood clots.
A low fibrinogen level can be caused by excessive bleeding, liver disease, or inherited disorders. ITP does not affect the fibrinogen level.
Increased partial thromboplastin time (PTT) is wrong because PTT measures how long it takes for the blood to clot.
A high PTT means that the blood clots too slowly, which can be caused by hemophilia, lupus, or blood-thinning medications. ITP does not affect the PTT.
Normal ranges for platelet count are 150,000 to 450,000 per microliter of blood. Normal ranges for PT are 11 to 13.5 seconds. Normal ranges for fibrinogen are 200 to 400 milligrams per deciliter of blood. Normal ranges for PTT are 25 to 35 seconds.