Case Study 4 Spring 2017

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CUNY LaGuardia Community College *

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101

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Health Science

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Jan 9, 2024

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docx

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Spring 2017 Case Study 4 Critical Thinking Case Study 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. 1. Was TM's heparin order within the safe daily dosage range? 2. What are the various methods for administering heparin? 3. Why was an aPTT test ordered? 4. How would you determine whether TM is within the desired range? Explain your answer. After 5 days of heparin therapy, TM was prescribed warfarin (Coumadin) 5 mg PO daily. An INR test was ordered. 5. Is the warfarin dose within the safe daily dosage range? Explain your answer. 6.Why was an INR ordered for TM? What is the desired range? (2pts) 7.What serious adverse reactions could result with prolonged use or large doses of warfarin? 8.What patient teaching interventions should the nurse include? List three interventions. 9.Months later, TM has hematemesis. What nursing action should be taken? This material is licensed under a Creative Commons Attribution 4.0 International License. Permissions beyond the scope of this license may be available at Saddleback College . This workforce product was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The U.S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership.

This material is licensed under a Creative Commons Attribution 4.0 International License. Permissions beyond the scope of this license may be available at Saddleback College . This workforce product was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The U.S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership.

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