Question

The provider gives K.N. a low dose of vitamin K orally, asks him to hold his warfarin dose that evening, and asks him to come back tomorrow for another prothrombin time (PT) and INR blood draw. Why is K.N. instructed to take the vitamin K?

You want to make certain K.N. knows what "hold the next dose" means. What should you tell him?
K.N. grumbles about all the laboratory tests but agrees to follow through.
What is potential S/S of bleeding that should be taught to K.N.? (Select all that apply.)
a. Black, tarry stool
b. Stool that is pale in color
c. Paresthesia lower extremities
d. Bruising
CASE STUDY PROGRESS You know that sometimes the only needed action is to stop the warfarin several days before the surgery. Other times, the provider initiates "bridging therapy," or stops the warfarin and provides anti coagulation protection by initiating low-molecular-weight heparin. After reviewing all his anticoagulation information, the provider decides that K.N. will need to stop the warfarin 1 week before the surgery and in its place be started on enoxaparin therapy.
Which nursing interventions are appropriate when administering enoxaparin? Select all that apply.
a. Monitor activated partial thromboplastin time (aPTT) levels.
b. Administer via intramuscular (IM) injection into the deltoid muscle.
c. The preferred site of injection is the lateral abdominal fatty tissue.
d. Massage the area after the injection has been given.
e. Inject two inches from belly button.

Answer 1

PT means prothrombin time it is a blood test that measures how long it takes the blood to clot.

Wayfarin is anticoagulant drug it will prevent the formation of blood clot, Vitamin K is essential for the formation of blood clotting factors such as  prothrombin and other clotting factors. Here we have to find out how much time is needs to form a clot (PT) already that patient taking warfarin it will not show correct report that's why doctor informed to hold the warfarin. And orally administering vitamin K it is essential to form clotting factors. Because warfarin will disrupt the role of vitamin K in a complex series of molecular events that cause blood clotting .Next day blood test will do to find out the normal time take to form a clot.

After the investigation the doctor informed the patient to come to hospital in case of black and tarry stool. and bruising.

Enoxaparin injection site on the left or right side of the abdomen approximately 3inches from belly button .massage should not do because it will cause to form haematoma. This injection will administer through subcutaneous route.