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학습 자료 둘러보기 →| Concept | Key Points |
|---|---|
| Severe Preeclampsia | Hypertension + proteinuria + end-organ dysfunction (CNS, hepatic, renal, hematologic). Can progress to eclampsia (seizures) or HELLP syndrome. |
| Disseminated Intravascular Coagulation (DIC) | Acquired thrombohemorrhagic disorder. Clotting factors/platelets consumed → microthrombi & hemorrhage. Lab findings: ↑PT/PTT, ↓Fibrinogen, ↑D-dimer, ↓Platelets. |
| Nursing Priority (ABCs) | Airway, Breathing, Circulation. In bleeding risk, Circulation (preventing hypovolemic shock) is paramount. |
| Bleeding Precautions | Soft toothbrush, electric razor, avoid IM injections/rectal temps, pad side rails, pressure on puncture sites, monitor for occult bleeding. |
| Action | Priority Level & Rationale | Common Pitfall |
|---|---|---|
| Monitor for Bleeding / Implement Precautions | HIGHEST PRIORITY. Directly addresses the immediate life threat (hemorrhage). Foundational patient safety. | Thinking diagnosis (labs) or treatment (delivery) comes first. Always think "Safety First." |
| Prepare for Immediate Delivery | High Priority (Medical Treatment). Definitive treatment for obstetric DIC. Nurse prepares but does not initiate. | Selecting this as the *nurse's* first action, confusing medical treatment with nursing priority. |
| Administer Anticoagulant | CONTRAINDICATED / WRONG. Would worsen bleeding in consumption-phase DIC. Replacement therapy is used. | Misunderstanding DIC pathophysiology and thinking "clotting disorder = give blood thinners." |
| Obtain Coagulation Studies | Important Assessment. Provides data but does not treat or protect the patient from immediate harm. | Prioritizing diagnostic tests over direct patient care and safety interventions. |
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.