Title: A week has passed. L.J. responded to heparin therapy and was bridged to oral warfarin therapy. His ... Post by: Vertzie on Feb 28, 2018 A week has passed. L.J. responded to heparin therapy and was bridged to oral warfarin therapy. His heart dysrhythmia converted to sinus rhythm after he started taking cardiac medications, and he is being discharged to home with home care follow-up.
Good, he says, just in time to fly out west for my grandson's wedding. His wife, who has come to pick him up, rolls her eyes and looks at the ceiling. Although you are surprised at his comment, you realize he is serious about going to the wedding. What are you going to tell him? Question 2 You evaluate L.J.'s electrocardiogram (ECG) strip. Name this rhythm, and explain what consequences it could have for L.J. Question 3 What pertinent laboratory values and measurements would you expect the physician to order and the results of which you will monitor? Explain the reason for each test. Question 4 You identify pain as a key issue in the care of L.J. List four interventions you will choose for L.J. to address his pain. What would be ideal interventions? Title: A week has passed. L.J. responded to heparin therapy and was bridged to oral warfarin therapy. His ... Post by: mcgee2 on Feb 28, 2018 explain the following: He is going to require daily follow-up visits to monitor his status. Sitting on a plane for several hours, along with the vigorous activity required to make plane changes, is not safe for him at this time. He is likely to have another DVT develop from sitting on the plane (not to mention sitting at the wedding and reception). He is going to continue to receive warfarin for life and will be at risk for bleeding and bruising; in addition, after his hospitalization and bed rest, it will take him weeks or even months to adapt to the rigors of everyday life. Explore with him the possibility of sending an audiotaped or videotaped message from him to the newlyweds. Ask whether anyone can video-record the ceremony and parts of the reception for him to view at home so that he won't feel so isolated. intervals. The problem with atrial flutter is that the atria are quivering, or not contracting correctly. Blood can pool inside the atria, and clot formation might occur. Complete blood count (CBC): Used to monitor for blood loss from bleeding that might or might not be evident while L.J. is on anticoagulant therapy. Chest x-ray (CXR) examination: For evaluation of pulmonary and cardiac systems. D-dimer assay: High levels are associated with thrombotic problems, such as DVT. scan (ventilation/perfusion lung scan): Used to test for the presence of pulmonary embolism. Computerized tomographic angiography (CT angiography or CTA): Used to test for the presence of pulmonary embolism. Arterial blood gases (ABGs): Used to monitor respiratory status and oxygenation. Test for occult blood in stool (guaiac) and/or emesis: To monitor for occult gastrointestinal bleeding. onset, duration, and expression of pain. Assess and monitor those factors that increase or decrease pain. Assess and monitor emotional responses and coping mechanisms to pain. Eliminate or modify those stimuli that increase pain. Evaluate the effectiveness of his pain medication. Teach him techniques he can use to modify his own pain (e.g., relaxation, imagery, distraction). Title: A week has passed. L.J. responded to heparin therapy and was bridged to oral warfarin therapy. His ... Post by: Vertzie on Feb 28, 2018 This calls for a celebration :raised_hands:
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