The patient has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which order(s) would the nurse want to validate with the physician?
1. Heparin 1,000 units intravenous (IV) every 6 hours
2. Tylenol as needed (PRN) for headaches
3. Obtaining a daily weight on the patient
4. Advil as needed (PRN) for headaches
5. Low vitamin K diet
Correct Answer: 1,4,5
Rationale: Advil could increase the risk of bleeding. 1,000 units of heparin is a sub-therapeutic dose. Vitamin K is the antidote for warfarin (Coumadin) overdose, there is no need to restrict it with heparin therapy. Daily weights are necessary to determine medication dosage. There isn't any contraindication with heparin and Tylenol.
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