GNUR 294 FINAL Nursing Applications ( RATED 100% ) : Loyola University Chicago

GNUR 294 FINAL Nursing Applications Nursing Applications: Coagulation • Evaluate lab findings (aPTT, PT/INR, bleeding time), CBC, platelets, renal and liver function studies, ABGs as appropriate, lipid profiles. • Monitor vital signs and ECG every 15 mins during first hour of infusion, and then every 30 min during the remainder of the infusion. Continue to monitor vital signs 1h for the first 8h following the infusion • Monitor neurologic status frequently, especially if thrombolytics are used for stroke • Encourage early ambulation post-op in the hospitalized patient and active range of motion if the patient is on bed rest or has limited mobility. Perform passive ROM for patients unable to perform active ROM • Educate patients and consumers about thrombosis prevention during travel: periodic stretching, short periods of ambulation, avoid sitting for prolonged periods, increasing fluid intake • Monitor for signs and symptoms of excessive visible bleeding and for occult bleeding • Continue to monitor frequent lab tests (aPTT, PT/INR), CBC and platelets. Therapeutic aPTT levels are usually 1.5-2.5 times the normal control value. INR is usually 2-3.5 or 4. Values below the norm indicate less than optimal therapeutic levels of the drug; values above the norm indicate a high potential of bleeding and hemorrhage. CBC, especially RBC, hemoglobin, and hematocrit and platelet levels should remain within normal limits. Decreasing values on CBC may indicate excessive bleeding and the need to assess for location. • Instruct the patient on the need to return periodically for lab work and alert lab personnel that anticoagulant therapy is being use • Continue to monitor peripheral pulses for quality and volume, complaints of angina or chest pain, especially if new or of sudden onset or accompanied by dyspnea. (Anticoagulants prevent thrombus formation or extension; they do not prevent emboli from occurring. Monitor for new or sudden onset of pain in necessary to ensure prompt treatment of possible emboli) • Maintain a normal diet, avoiding increases or decreases in vit-K rich foods and limit or eliminate alcohol intake (sudden increases or decreases in dietary intake of vit-k rich foods may increases or decrease effectiveness of anticoagulants, particularly oral anticoagulant therapy.) • Assess for any symptoms of hepatitis Nursing Applications: Diabetes • Obtain a history of current symptoms, durations & severity, and other related s/s. Asess feet and lower extremities for possible ulcerations • Assess for desired therapeutic effects (i.e. glucose levels remain within normal limits, HbA1C, levels) Assess for and report promptly adverse effects appropriate to the type of oral drug: signs of