A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate of 98 beats per minute. The patient's most recent aPTT is greater than 90 seconds
The patient reports lumbar pain. The nurse will request an order for: a. a repeat aPTT to be drawn immediately.
b. analgesic medication.
c. changing heparin to aspirin.
d. protamine sulfate.
D
Heparin overdose may cause hemorrhage, which can be characterized by low blood pressure, tachycardia, and lumbar pain. Protamine sulfate should be given, and the heparin should be dis-continued. An aPTT may be drawn later to monitor the effectiveness of protamine sulfate. Anal-gesics are not indicated because the lumbar pain is likely caused by adrenal hemorrhage. Aspirin will only increase the risk of hemorrhage.
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What services are birthing centers able to provide? (Select all that apply.)
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You assess a client in the local neighborhood clinic. He exhibits signs and symptoms of TB, yet has a negative tuberculin skin test result. You suspect that the physician may further test the client because he
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