(1)
To determine:
What nursing action should be implemented to ensure the accuracy and safety of continuous heparin infusion.
Case summary:
Person L is a 56-year-old architect. He has experienced deep vein thrombosis for the past 2 years. This deep vein thrombosis occurred without any complications and was treated properly through anticoagulant therapy. Now, he arrives urgently to the care center due to increased pain and swelling in his left calf; it has lasted for the past 3 days. Person L is admitted to the hospital for anticoagulant therapy and he receives a bolus of 5000 units of heparin, on a continuous heparin infusion.
(2)
To determine:
Why the patient finding would indicate a therapeutic response to the heparin therapy?
Case summary:
Person L is a 56-year-old architect. He has experienced deep vein thrombosis for the past 2 years. This deep vein thrombosis occurred without any complications and was treated properly through anticoagulant therapy. Now, he arrives urgently to the care center due to increased pain and swelling in his left calf; it has lasted for the past 3 days. Person L is admitted to the hospital for anticoagulant therapy and he receives a bolus of 5000 units of heparin, on a continuous heparin infusion.
(3)
To determine:
What the first action and subsequent orders will the nurse prepared to carry out.
Case summary:
Person L is a 56-year-old architect. He has experienced deep vein thrombosis for the past 2 years. This deep vein thrombosis occurred without any complications and was treated properly through anticoagulant therapy. Now, he arrives urgently to the care center due to increased pain and swelling in his left calf; it has lasted for the past 3 days. Person L is admitted to the hospital for anticoagulant therapy and he receives a bolus of 5000 units of heparin, on a continuous heparin infusion.
(4)
To determine:
What went wrong and how the error can be prevented.
Case summary:
Person L is a 56-year-old architect. He has experienced deep vein thrombosis for the past 2 years. This deep vein thrombosis occurred without any complications and was treated properly through anticoagulant therapy. Now, he arrives urgently to the care center due to increased pain and swelling in his left calf; it has lasted for the past 3 days. Person L is admitted to the hospital for anticoagulant therapy and he receives a bolus of 5000 units of heparin, on a continuous heparin infusion.
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