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Coagulation Disorders Case Study (in your own words thank you)

 

A 63-year-old female patient presents to the emergency room complaining of pain in the right calf, swelling, redness and warmth to the area. A history and physical exam reveal the following information: + family history of blood clots (superficial); recent travel on a plane x 12 hours, smoking 1 pack per day x 28 years. A diagnosis of a superficial thrombophlebitis is made following a doppler blood flow study. The patient is prescribed anti-embolic stockings and a regimen of Warfarin Sodium x 14 days, followed by an evaluation of the coagulation profile in a Coumadin Clinic. 

 

Based on this information, answer the following questions:

1. What is the classification, action and rationale for prescribing Warfarin and anti-embolic stockings?

 

2. What adverse effects of this medication should the nurse be alert and assess for? 

 

3. What dietary instructions should the nurse provide to the patient while she is taking this medication?

 

4. After the patient completes the 14-day regimen of Warfarin Sodium, the physician prescribes Clopidogrel 75 mg po once daily. What adverse effects of this medication should the nurse assess for and are there any dietary restrictions while on this medication?

 

5. Based on the medications the patient is taking, identify two priority nursing problems.

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 4500

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