DVT – Winningham
Amaranth, and disconsolation in comparison with unaffected limb. 5. What is the most serious complication of DTV? Most serious complication is that a thrombus becomes mobile changing its status as an embolism. An embolism has a high likelihood of reaching the lungs and which can potentially become fatal as a pulmonary embolism. 5.
List at least 8 assessment findings you should monitor closely for in the development of the complication identified in Question 5. Monitor for shortness of breath. Skin cool to touch Assess for chest pain Auscultative heart sounds for accentuated (stressed) sounds
Auscultative for wheezing and crackled breathing sounds in the lungs. Monitor heart rate for tachycardia Observe for neck vein distension Observe patient for cannabis KS, ‘Why do I nave to get these shots? Why can’t I Just get a Commanding pill to thin mum blood? ” What should be your response? A. “Good idea! I will ask the physician to switch medications. ” b.
“It would take the Commanding pills several days to become effective. ” c. Inform physician prefers the injections over the pills. ” d. “The nonagenarian will work to dissolve the blood clot in your leg. ” 8.
The order for the nonagenarian reads: Nonagenarian MGM every 12 hours subcutaneous. L J. Is Ft, in. And Neighs Bibb. Is this dose appropriate? The dose is appropriate because nonagenarian may be given at rate of 1 MGM/keg every 12 hours for acute impatient DTV treatment.
Pit is Bibb which is approve. Keg making this his appropriate dose. 3. What special techniques do you use when giving the subcutaneous injection of nonagenarian? A. Rotate injection sites b.
Give the injection near the umbilicus Expel the bubble from the profiled syringe before giving the injection d.
After inserting the needle, do not aspirate before giving the injection. E. Massage the Injection site gently after the injection is given. 10. True or False: Nonagenarian dosage is directed by monitoring activated partial thermoplastic time (apt) levels.
Explain {Our answer. While apt may be monitored in obese or patients with renal Insufficiency, it is not typically necessary for deciding dosages. Instead patient weight typically is used to decide appropriate drug dosing for Nonagenarian. 11. What instructions will you give L.
J. About his activity?
He is to be on bed rest with low mobility due to need for elevation of extremities to prevent thrombus from developing into an embolism. Tell him to change positions periodically to prevent skin breakdown and formation of pressure ulcers. 12. What pertinent laboratory values or test results would you expect the physician to order and you to monitor? apt- to monitor effectiveness of heparin on thinning blood PIT- to monitor the effectiveness of Commanding on thinning blood after discontinuing heparin 13.
You identify pain as a key issue in the care of L. J.
List 4 interventions you will choose for L. J. To address his pain.
I will request the use of a porn analgesic for pain Immobilizers the effected extremity to prevent agitation and pain from ambulation Provide distraction such as television to distract patient from pain Elevate the leg to reduce swelling that may cause greater pain 14. You evaluate L. J. ‘s EGG strip. Name this rhythm, and explain what consequences it could have for L.
J. Trial Fibrillation- due to lack of synchronized trial contraction blood movement is reduced creating stagnant blood.
This stagnant blood may blood and form new thrombi in L. J. ‘s venous system.
15. What are you going to tell him? Am going to remind him that long periods tot sitting are not preferred tooling diagnoses as they may cause a new formation of clots in his extremities. Also the sudden changes in altitude may cause problems in venous return form the legs Increasing risk of clotting. It is not advised that you fly for quite some time. Are you sure there isn’t anyone who would tape the ceremony? I’m sure your grandson will understand your absence following your recent hospital stay.
