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    Submitted By: Anthony B. Taquiqui BSN - A314 Submitted To: Mrs Gretel Viray RN, MAN

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    eknok03
    Purpura is a skin condition characterized by red or purple discolorations caused by bleeding from small blood vessels. It can be caused by platelet disorders which result in a low platelet count, vascular disorders which damage blood vessels, or coagulation disorders affecting the clotting process. The document outlines different types of purpura based on their underlying cause and characteristic symptoms such as the size and appearance of the lesions.

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    Submitted By: Anthony B. Taquiqui BSN - A314 Submitted To: Mrs Gretel Viray RN, MAN

    Uploaded by

    eknok03
    22 views27 pages
    Purpura is a skin condition characterized by red or purple discolorations caused by bleeding from small blood vessels. It can be caused by platelet disorders which result in a low platelet count, vascular disorders which damage blood vessels, or coagulation disorders affecting the clotting process. The document outlines different types of purpura based on their underlying cause and characteristic symptoms such as the size and appearance of the lesions.

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    PURPURA

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    Purpura is a skin condition characterized by red or purple discolorations caused by bleeding from small blood vessels. It can be caused by platelet disorders which result in a low platelet count, vascular disorders which damage blood vessels, or coagulation disorders affecting the clotting process. The document outlines different types of purpura based on their underlying cause and characteristic symptoms such as the size and appearance of the lesions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    22 views27 pages

    Submitted By: Anthony B. Taquiqui BSN - A314 Submitted To: Mrs Gretel Viray RN, MAN

    Uploaded by

    eknok03
    Purpura is a skin condition characterized by red or purple discolorations caused by bleeding from small blood vessels. It can be caused by platelet disorders which result in a low platelet count, vascular disorders which damage blood vessels, or coagulation disorders affecting the clotting process. The document outlines different types of purpura based on their underlying cause and characteristic symptoms such as the size and appearance of the lesions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 27

    Submitted by: Anthony B.

    Taquiqui
    BSN – A314

    Submitted to: Mrs Gretel Viray RN, MAN


    Purpura is the name given to the discoloration of the skin or mucous
    membranes due to hemorrhage from small blood vessels.

    Petechiaeare small, purpuric lesions up to 2mm across


    Ecchymoses or bruises are larger extravasations of blood.

    Extravagated blood usually breaks down and changes color over a


    few weeks from purple, orange, brown and even blue and green.
    •Thrombocytopaenic purpura Primary (idiopathic) thrombocytopaenic purpura –
    destruction of platelets due to unknown cause
    Platelet disorders
    •Secondary thrombocytopaenic purpura – caused by external or internal factors, e.g.
    drugs, infections, certain diseases

    •Non-thrombocytopaenic purpura – blood may leak as a result of: Damage to small blood
    vessels
    Vascular disorders
    •Increase in the intraluminar pressure
    •Deficient vascular support, as in aged or sun damaged skin (senile purpura)

    •Disseminated intravascular coagulation – clinical picture varies from a severe and


    rapidly fatal disorder (purpura fulminans) to a relatively minor disorder
    •Heparin induced thrombocytopaenia– purpura and necrosis due to anti-platelet
    Coagulation disorders
    antibodies inducing platelet plugs that block blood vessels
    •Warfarin induced necrosis – purpura and necrosis due to blood clots related to relative
    protein C deficiency early in treatment
    The signs and symptoms of purpura vary depending on the type of
    purpura. The following broad generalizations may be made.
    Petechiae are usually present in thrombocytopaenic purpura.
    There may be some external bleeding and bruising.

    Coagulation defects usually present as large ecchymoses and


    external bleeding. Petechiae do not feature.

    Lesions of blood vessels cause persistent and localized purpura


    with an erythematous inflammatory component. This may be
    palpable. Ecchymoses and external bleeding are uncommon.
    Removal of the Spleen (Splenectomy)
    If necessary, the spleen will be removed surgically. This organ is located in the upper left abdomen. The spleen
    is about the size of a golf ball in children and a baseball in adults.
    The spleen makes antibodies (proteins) that help fight infection. In ITP, these antibodies destroy platelets.
    If ITP hasn't responded to steroids, removing the spleen will reduce the destruction of platelets. However, it
    also may make you more likely to get certain infections. Before you have the surgery, your doctor may give you
    vaccines to help prevent these infections.
    Other Treatments
    Platelet Transfusions
    Some people with ITP who have severe bleeding may need to have platelet transfusions and be hospitalized.
    Some people will need a platelet transfusion before having surgery.
    For a platelet transfusion, donor platelets from a blood bank are injected into the recipient's bloodstream. This
    increases the platelet count for a short time.
    Treating Infections
    Some infections can briefly lower a person's platelet count. If a person who has ITP has an infection that can
    lower his or her platelet count, treating the infection may help increase the platelet count and reduce bleeding
    problems.
    Stopping Medicines
    If a person who has ITP is taking medicine that can lower his or her platelet count or cause bleeding, stopping
    the medicine can sometimes help increase the platelet count or prevent bleeding.
    For example, aspirin and ibuprofen are common medicines that increase the chance of bleeding. If you have
    ITP, your doctor may suggest that you avoid these medicines.

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