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Nur 210 Exam 3 Objectives With 100% Correct Answers 2023
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Nur 210 Exam 3 Objectives With 100% Correct Answers 2023
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Nur 210 Exam 3 Objectives With 100% Correct Answers 2023Discuss the nursing implications for anticoagulant therapy - Correct Answer-Use to prevent formation of blood clots and to stop the progression of blood clots
Use for DVT, PE, CVA, MI, and pregnancy
Heparin - Correct Answer-IV injection
-Do not mix with other IV meds, check daily dose changes with another RN, use an infusion pump
SubQ injection
-Rotate sites, no aspiration, do not massage
Monitor aPTT
-Normal value is 40 seconds
-Therapeutic level between 1.5-2 times the control
-Usually 60-80 seconds
Monitor for bleeding
-Bruising, petechiae, smoky urine
Antidote- protamine sulfate
LMWH - Correct Answer-Obtain baseline
-aPTT, PT, CBC, creatine
Administered subQ every 12-24 hours
Antidote- protamine sulfate
Warfarin - Correct Answer-Monitor PT, 1.2-1.5 times the control or INR between 2-3
Monitor for bleeding, ID band, check all new medications, diet recommendations
Identify what should be included in client teaching regarding anticoagulant therapy - Correct Answer-If you notice any bleeding, report it immediately
Discuss the use of protamine sulfate and vitamin K as anticoagulant antagonist - Correct Answer-Vitamin K is needed for the formation of blood clots. If there is an ADR, give them vitamin K to correct it
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