Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R tibia and fibula. He underwent external fixation of the fracture 3 days ago. This morning he was complaining of some shortness of breath and chest pain. A 12 lead ECG showed non-specific ST segment and T wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24, SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical history: type 2 diabetes, peripheral vascular disease and impaired renal function GFR 60ml/min. He smokes 1 pack per day, but says he is going to give it up. Normally does little exercise and weighs 89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug
Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R tibia and fibula. He underwent external fixation of the fracture 3 days ago. This morning he was complaining of some shortness of breath and chest pain. A 12 lead ECG showed non-specific ST segment and T wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24, SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical history: type 2 diabetes, peripheral vascular disease and impaired renal function GFR 60ml/min. He smokes 1 pack per day, but says he is going to give it up. Normally does little exercise and weighs 89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R tibia and fibula. He underwent external fixation of the fracture 3 days ago. This morning he was complaining of some shortness of breath and chest pain. A 12 lead ECG showed non-specific ST segment and T wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24, SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical history: type 2 diabetes, peripheral vascular disease and impaired renal function GFR 60ml/min. He smokes 1 pack per day, but says he is going to give it up. Normally does little exercise and weighs 89kg.
He has been commenced on Dalteparin 200 U/kg/day.
Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug
He has been commenced on Dalteparin 200 U/kg/day.
Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by step
Solved in 5 steps
Recommended textbooks for you
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning