1. A patient comes from surgery after a femoral bypass with a heparin drip running through...

1. A patient comes from surgery after a femoral bypass with a heparin drip running through a pump. What nursing assessments should be made to monitor this patient’s postoperative progress? The operative record indicates that the patient has had a total of 50,000 units of heparin during the operative procedure. The postoperative orders do not state a specific rate of flow for the heparin drip, which is currently running through the pump at 8 mL/hr. What actions should be taken by the nurse?

2. Why is it usually necessary to use a combination of drugs to treat heart failure?

Expert Solution

When nurse is assessing the patient comes from surgery after a femoral bypass with a heparin drip running through a pump,

Check the site of puncture for any bleeding
Assess vital sings, mainly focus in pulse rate, rhythm, volume. If the pulse is at the rate if above 60 bpm, continuous with regular interval is indication of success of procedure.
Monitor blood pressure

Post operative continuation of heparin drip is based on the prescription to continue.

If there is no prescription, stop the drip and check for any bleeding.

2.

Heart failure may have number of causes. And it is fatal condition, where can't wait for effectiveness of one drug.

It may be

neurogenic origin
Cardiogenic origin or
Mixed.

So that to treat heart failure, combination of drugs are required

Nightingale answered 2 years ago

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