PHYSIOLOGY
PULMONARY PHYSIOLOGY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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After the surgical procedure for the pulmonary embolism, Susan undergoes the same EKOS procedure for her right DVT. When the blood clot is cleared, she is started on enoxaparin 1mg/kg and warfarin (coumadin) therapy. Susan asks the nurse why she is receiving two medications to prevent clots.How should the ICU nurse respond?
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“Because you had two places with blood clots, you need two medications.”
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“You will receive enoxaparin injections and warfarin pills until the target anticoagulation numbers are reached.”
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“You will need both medications for 1 year. After 12 months, you will only take the pills.”
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“While you are in the hospital, we will give you injections. After you are home, you will only take oral medication.”
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Explanation:
Detailed explanation-1: -[8]For patients who are on anticoagulant therapy, the therapeutic INR ranges between 2.0 to 3.0. INR levels above 4.9 are considered critical values and increase the risk of bleeding.
Detailed explanation-2: -TREATMENT. Anticoagulants are the medications most commonly used to treat DVT or PE. Bleeding can be a complication of anticoagulant therapy. The most frequently used injectable anticoagulants are unfractionated heparin, low molecular weight heparin (LMWH), and fondaparinux.
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