Deep Vein Thrombosis and Pulmonary Embolism after

Deep Vein Thrombosis and Pulmonary Embolism after a long trip A 68-year-old female presented at the hospital complaining of severe pain in her left leg, shortness of breath, and pleuritic type chest pain following a long drive from Maine to Florida with minimal stopping. The patient had a history of pulmonary embolism, degenerative joint disease, and previously was a chronic smoker. Her vital signs were: temperature 38.4 °C, pulse 98 bpm, respiratory rate 20 breaths per minute, and blood pressure 138/89 mm Hg. Her weight is 155 pounds. Basic metabolic panel and complete blood count values were within the normal range. She had been taking hydrocodone/acetaminophen 5/325 mg one tablet orally every 6 hours as needed for pain, tiotropium inhaler 18 mcg one inhalation daily, and albuterol two inhalations as needed for chronic obstructive pulmonary disease (COPD). The chest 2 views on radiography confirmed COPD and computed tomography (CT) scanning showed bilateral pulmonary emboli. Venous Doppler ultrasound of the lower extremities also revealed extensive deep venous thrombosis in his left lower leg. In this case, the 68-year-old patient had additive risk factors for VTE: age, history of pulmonary embolism and venous stasis after a long drive from Maine to Florida. She didn’t receive active thromboprophylaxis and developed a second VTE episode which may have been preventable. As a result, treatment of acute DVT and PE was initiated in this patient. You receive from pharmacy a bag of IV heparin of 25,000 units in 250 ml of .9NS What are your immediate nursing interventions? Be Specific. Heparin is order what is the bolus amount of heparin that you would give this patient? When would you draw the next set of lab work? What Lab work would you draw up? When the lab work comes back from the laboratory it is as follows. aPtt 39 INR 1.6 PT 23 Bun 17 CR 1.1 What do you do now based on the lab above?

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."