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studydude studydude
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6 years ago
A patient in the clinic develops sudden shortness of breath and tachycardia. The primary care NP notes thready pulses, poor peripheral perfusion, and a decreased level of consciousness.
 
  The NP activates the emergency medical system and should anticipate that this patient will receive: a. intravenous alteplase.
  b. low-dose aspirin and warfarin.
  c. low-molecular-weight heparin (LMWH).
  d. unfractionated heparin (UFH) and warfarin.
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6 years ago
D
This patient has unstable pulmonary embolism (PE) and should receive thrombolytic therapy. Intravenous alteplase is the preferred agent. UFH and warfarin are recommended for stable PE. LMWH is beneficial in submassive PE and deep vein thrombosis (DVT) but is controversial for treatment of massive PE.
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