Question

In: Nursing

Alterations in Hemostasis and Blood Coagulation What findings from the patient history, physical examination, or lab...

Alterations in Hemostasis and Blood Coagulation

  • What findings from the patient history, physical examination, or lab studies would indicate a possible bleeding disorder?
  • What are the common causes of platelet dysfunction due to quantity and quality?
  • What are the common causes of inherited and acquired coagulation disorders?

Solutions

Expert Solution

#The following findings can be observed from patient history ,physical examination or lab studies if a patient has bleeding disorder

Patient history

  • Family history of any bleeding disorder
  • Any abnormal bleeding from orifices or by mild injury
  • Genetic or congenital illness
  • Duration of bleeding after a cut or injury accidentally

Physical examination

  • Easy bruises
  • Epistaxix
  • Purpura
  • Petechea rashes
  • Paleness due to low haemoglobin
  • Malena
  • Blood vomiting
  • Bleeding from nose

Lab

  • Low platelets
  • Abnormal coagulation profile
  • Low clotting time
  • Decreased hemoglobin
  • Hematuria

#The common cause of platelets dysfunction both in qualitative and quantitative are

  • Decreased production
  • Deficiency of antithrombin 3factor
  • Mutation
  • Factor V Leiden
  • Hereditary or genetic bleeding disorder
  • Organ failure like liver failure renal failure
  • After cardiac transplantation
  • Leukemia

#Some of the common causes of inherited and acquired coagulation disorder are

  • Hereditary or running in the family
  • Genetic Mutation
  • Membrane defects in the platelets
  • Macrothrombocytopnea
  • Multiple myeloma
  • Polycythemia vera

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