Heparin

treatment, the treatment plan for Mrs. B will depend on whether she is diagnosed with STEMI, NSTEMI, or unstable angina. Each case will be discussed briefly: STEMI treatment. Mrs. B will receive a loading dose of 600mg clopidogrel and will be started on heparin drip. Reperfusion therapy needs to be performed as soon as possible. PCI is the preferred method, and the goal is 90 minutes or less door-to-balloon time. If PCI is not available, fibrinolytic therapy should be administered unless it is…

answer the concerns of staff in a 4- to 6-page paper. Failure Mode and Effects Analysis The U.S. Healthcare systems, specifically hospitals, experience clinical risks resulting in multiple adverse events in patient care, safety, and financial burdens in the health systems. In 2000, the Institute of Medicine’s issued report stated that clinical risks typically stem from deficiencies and failures in the healthcare system (Kohn, Corrigan, & Donaldson 2002). In response, multiple healthcare…

Standardizing central venous catheter care: hospital to home The guideline for Standardizing central venous catheter care: hospital to home was obtained from the National Guideline Clearinghouse. This guideline standardizes care of the central line to ensure continuity of care and decrease complications. Central line infection and thrombosis cause thousands of deaths each year and increases medical costs (CDC). Proper care of the central line utilizing antibacterial dressings, passive…

Outline of Case and Objectives  43 year old male  Previous laparotomy about 10 years ago due to gunshot abdomen  Presenting now with a single stab wound to the right epigastric region, pericardial effusion confirmed by ultrasound. Explorative laparotomy done- patient has right ventricular injury and right sided diaphragmatic injury  The patient was intubated and ventilated  The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained…

laboratories applies it for 120 seconds with the same efficacy (42). Pulmonary vein activity is recorded with the inner lumen mapping catheter. After the freezing, if it is successful, PV potential disappears. After the procedure, intravenous heparin is continued followed with oral anticoagulation, for at least 3 months. AADs are taken for 3 months post ablation and then they will be discontinued. All patients then, undergo to a Holter-ECG for seven-days to see the atrial fibrillation burden…

thrombosis or clots. “Because patients undergoing prostatectomy have a high incidence of DVT and pulmonary embolism, the provider may prescribe prophylactic low-dose heparin therapy” (Pellico, 2013, p. 963). Heparin helps to decrease the formation of clots, which can have a dangerous outcome if not caught early. While a patient is on heparin therapy, the nurse should cautiously monitor the client for bleeding (Pellico, 2013). Anxiety related to health status is a nursing diagnosis that would be…

misdiagnosed as supraventricular tachycardia: A case report. Journal of Medicine & Biomedical Sciences, 2(1), 42-45. Jamula, E., Woods, K., Verhovsek, M., & Douketis, J. D. (2009). Comparison of pain and ecchymosis with low-molecular-weight heparin vs. unfractionated heparin in patients requiring bridging anticoagulation after warfarin interruption: A randomized trial. Journal of Thrombosis and Thrombolysis, (3), 266-270. doi:10.1007/s11239-009-0389-0 Niemeijer, M. N., van den Berg, M. E.,…

one could survive. The previous discovery of blood transfusions allowed Gibbon to create a machine that pumped real blood. The most important discovery made that really assured the success of the heart lung machine, was the discovery of heparin (Fou, 1997). Heparin removes and prevents clots in blood. Blood with clots cannot circulate properly and can kill a patient. The machine Gibbon created took deoxygenated blood from veins in the body, oxygenated it by a rotating blood-film oxygenator and…

months ago after she was in a motor vehicle accident. She was a restrained passenger in a “severe” automobile accident on a highway with an estimated speed of approximately 70-75 mph about 2 months ago. After seeking emergent care, she was prescribed heparin injection to be done at home for a period of three month after surgery. She complains that her current symptoms are beginning to interfere with her daily activities and she is concerned that her IUD may be causing her to bleed. She has not…

QUESTIONS 1. Discuss the pathophysiology of coronary artery atherosclerosis. Include discussion of risk factors associated with the development of this disease. (10 points) Coronary artery atherosclerosis is most commonly comprised of atherosclerotic fibrous fatty obstructions of the large epicardial vessels, which provide for blood flow and transport nutrients, oxygen, and elimination of metabolic waste products such as CO2, lactic acid, and hydrogen ions. Coronary artery atherosclerosis…