The patient has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which orders would the nurse want to validate with the physician?
1. Heparin 1000 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
1,4,5
Rationale 1: 1000 units of heparin is a sub-therapeutic dose.
Rationale 2: There isn't any contraindication with heparin and Tylenol.
Rationale 3: Daily weights are necessary to determine medication dosage.
Rationale 4: Advil could increase the risk of bleeding.
Rationale 5: Vitamin K is the antidote for warfarin (Coumadin) overdose; there is no need to restrict it with heparin therapy.
Global Rationale: Advil could increase the risk of bleeding. 1000 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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