Why was an aPTT and INR ordered? How would you determine whether TM is within the desired range? Explain your answer.

Case Scenario:

TM, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subQ q6h was prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were also prescribed. An aPTT test was ordered.

After 5 days of heparin therapy, TM was prescribed warfarin (Coumadin) 5 mg PO daily. An INR test was ordered.

Questions:

Why was an aPTT and INR ordered? How would you determine whether TM is within the desired range? Explain your answer.
What patient teaching interventions should the nurse include? List at least three interventions.

Solutions

Expert Solution

PTT means Partial thromboplastin Time

PTT is performed to asses the amount and function of protiens called coagulation factors that are important part of proper blood clot formation. often PT and PTT are performed together.In above mentioned case PTT is performed to evaluate the patient's response to heparin therapy.

INR means International normalized ratio

PT(prothrombin time ) is a test used to detect any bleeding disorders or excessive clotting disorder,

INR is calculated from a PT result and is used to monitor how well the blood thinning medication (anticoagulant) is working to prevent blood clot.

As warfarin is prescribed INR is performed.

PATIENT TEACHING INTERVENTIONS

Include explaining patient about

1.Importance of taking warfarin on a schedule.

2.Increased risk of bleeding and measures to be take to avoid that.

3.Effect of alcohol consumption .

4.Importance of wearing medical identification.

5.warfarrin intreraction with other medications.

6. Warfarin and food restrictions

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Explain how you would assess the size of the government deficit to determine whether the government...

Explain how you would assess the size of the government deficit to determine whether the government was using fiscal policy to expand or contract the economy.

How would you determine whether a colorless colony on MacConkey agar is Salmonella or Shigella? Why...

How would you determine whether a colorless colony on MacConkey agar is Salmonella or Shigella? Why would you want to identify a colorless colony? Briefly explain

10. Determine whether the following statements are true or false. You must briefly explain your answer....

10. Determine whether the following statements are true or false. You must briefly explain your answer. (a) If Yn is a binomial rv with parameters n and p = 1/n, then limn→∞ Yn is a exponential random variable. (b) If (X, Y ) is uniformly distributed on the unit disk, then X is uniformly distributed on [−1, 1]. (c) If X1, ..Xn, .. are i.i.d. with common mean µ and variance σ 2 , then for any > 0 P(|X1...

How would you define poverty? How would you determine whether a particular family is poor? Is...

How would you define poverty? How would you determine whether a particular family is poor? Is the test you have proposed an absolute or a relative test?

Part 2. Answer both: How would you determine whether the morphological diversity of animals has increased,...

Part 2. Answer both: How would you determine whether the morphological diversity of animals has increased, decreased, or stayed the same since the Cambrian? Explain what kind of data you would collect, how you would analyze it, and what sorts of biases you might need to correct for. Choose three species of wild organisms (not domesticated species or humans) and predict how their populations and geographic ranges will change in the future, assuming that global climate change continues at its...

Indicate whether the following statements are true or false. Why or why not? Explain your answer...

Indicate whether the following statements are true or false. Why or why not? Explain your answer clearly and concisely. a. [5 points] The fact that health and income are positively correlated suggests that a policy of transferring income from the wealthy to the poor will increase overall health in society. b. [5 points] The concept of need in health care derives from the presence of externalities in healthcare markets.

Determine whether each of the following is an internal control strength or weakness. Explain your answer....

Determine whether each of the following is an internal control strength or weakness. Explain your answer. 1. Receiving department manager places an order with the vendor for merchandise inventory. 2. A voucher is used to certify a transaction and authorize recording of the liability. 3. Goods are received by the receiving department and documented with a receiving report. 4. Accounting department pays the vendor's invoice before goods are received. 5. Invoices are paid after completion of the invoice approval documenting...

(b) Determine whether the JMP instruction are SHORT, NEAR, or FAR jump. Explain your answer.

Determine whether the following statements are TRUE or FALSE. Briefly explain your answer. Q1) “The rate...

Determine whether the following statements are TRUE or FALSE. Briefly explain your answer. Q1) “The rate of returns of a bond is always the same as the yield to maturity of the bond.” Q2) “The nominal interest rate is always higher than the real interest rate.” Q3) “If the actual inflation rate is unexpectedly high, the realized real interest rate can be negative.”

Indicate whether the below statements are True or False. If your answer is True, explain why....

Indicate whether the below statements are True or False. If your answer is True, explain why. If your answer is False, provide a specific counter-example. (No points will be given to simply writing True or False even if the answer is correct.) Every dominant strategy equilibrium is a Nash Equilibrium. Every Nash Equilibrium is a dominant strategy equilibrium. A 2-player game that has a strictly dominated strategy for each player is a dominance solvable game. All Nash Equilibria will survive...

Subjects