Nursing Diagnosis
Diagnostic Tests
Implementation
Medications
Signs and Symptoms
100
Number one patient complaint of DVT?
What is pain
100
Basic testing to rule out DVT
What is an ultrasound
100
What can you do to allow circulation to the limb?
What is Elevate legs, maintaining slight knee flexion, while in bed. Apply warm, moist compresses to right leg using a 2-hour-on, 2-hour-off schedule around the clock.
100
What should be administered first if patient is complaining of pain being on a 8/10 pain scale?
What is analgesics (example: morphine)
100
Number one symptom!
What is pain
200
From this diagnosis, what conflicts occur that lead to this diagnosis?
What is impaired mobility
200
Diagnostic Tests
What is CT Scan
200
What can be given to provide hydration?
What is intravenous fluids
200
What should be given to thin the blood? Name medication!
What is Lovenox, Heparin
200
S/s you can also get with dehydration
What is dizziness
300
What becomes ineffective in having a DVT?
What is ineffective tissue perfusion
300
Diagnostic Test
What is MRI
300
What can be worn to provide circulation to the limb in avoiding more clotting?
What is compression stockings
300
What medication is given once patient discontinues heparin?
What is Coumadin
300
Pain you also get with a stroke
What is chest pain
400
Immobility may also lead to....?
What is risk for impaired skin integrity
400
A dye (contrast agent) is injected into a large vein in your foot or ankle. An X-ray procedure creates an image of the veins in your legs and feet, to look for clots
What is Venography
400
What to administer to maintain tissue perfusion?
What is oxygen
400
What antidote is given if the patient has excessive bleeding?
What is Protamine Sulfate
400
"SOB"
What is shortness of breath
500
Nursing Diagnosis (psychological)
What is anxiety
500
Elevated blood level of a clot-dissolving substance)
What is a D-Dimer Test
500
Immobilize the patient and initiate ________ to reduce the risk of clot mobilization
What is bed rest
500
Your patient has an order to receive a Heparin bolus of 4,000 Units, followed by an IV drip of 14 Units/kg/hr. Your patient weighs 203 lbs. You have a Heparin vial labeled 1,000 units/mL. What will you give your patient for the initial bolus? What will you set your IV pump at for a continuous drip if your 1 L IV bag is labeled 40,000 Units of Heparin?
What is 92 kg. 4 mL 1288 Units/hr = 32.2 mL/hr
500
A pulse rate of 130bpm (S/s)
What is rapid pulse rate
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