3-16 PATIENTS DIAGNOSED WITH PULMONARY EMBOLUS AND ON ANTICOAGULANT THERAPY. Handoff report at 3:00 PM: “Mrs. L was admitted with signs and symptoms of having developed a pulmonary embolus. She just had a

baby 2 weeks ago. She has a heparin drip. The infusion pump is set at 20 mL/hr. You have 100 mL left. She

slept well. Respirations are unlabored at 22. The right lower lung has diminished breath sounds. She will be

started on Coumadin today. She is anxious to go home and be with her baby.”

Mrs. L’s current flowcharts contain the following information:

Integrated Learning Activity: With a partner, use the clinical situation and the flowcharts to:

Nursing Care Kardex

VS: q4h Diet: Regular

Bed rest with BRP I & O

O2 @ 3 L/min/NC prn SOB

IV: 500 mL D5W c-

20,000 units heparin

Infuse at 1000 units/hr

LFA #22 g angiocath

LAB:

Daily PTT ! PT in AM

Routine Medications:

Coumadin 5 mg po today at 0900

Coumadin 2.5 mg po today at 1700

Coagulation Record

Date PTT Control Heparin dose

1st day 50 sec 25 sec 900 units/hr

2nd day 60 sec 25 sec 1000 units/hr

3rd day 90 sec 30 sec 1100 units/hr

Current 75 sec 30 sec 1000 units/hr

Copyright © 2014, 2010, 2006, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.

THREE

3-16 Patient Diagnosed With Pulmonary Embolus and on Anticoagulant Therapy 219

”

1. Identify the pertinent

patient information

made known to you in

the report.

2. Identify the pertinent

patient information

made known to you in

the flowcharts.

3. Review the data in

columns 1 and 2 and

identify information that

needs follow-up.

It is 3:30 PM; prioritize your plan of care for the next hour:

6:30 PM The nursing assistant informs you that the IV pump is beeping. You go into assess the pump and

you notice that the heparin bag is empty. You look at the infusion pump and it is set at 35 mL/hr instead of

25 mL/hr.

Critical reflection: To promote safe nursing practice, identify interventions that support the safe administration

of heparin therapy and professional competency:

What are the possible benefits of Growing Human Organs from Stem Cells for Transplant?

please citebenefits of Growing Human Organs

Explain in detail which parts of the world’s ecosystems are most vulnerable to climate change. The Arctic, California and the Pacific Ocean are just some examples that are heavily affected.

Expense. Additionally, there may be two bends for the interest or advantage of the upside. The social interest
bend would mirror the advantage to society all in all, while the ordinary interest bend mirrors the advantage to
customers as people and is reflected as successful interest on the lookout.

Isolated systolic hypertension is prevalent in older women due to the high risk of arterial stiffening. When the arteries are stiff, the heart makes it difficult to pump harder to provide oxygenated blood to the whole body; thus, blood pressure (BP) increases. Isolated systolic hypertension happens when a person has a systolic blood pressure of more than 140 mmHg with a diastolic blood pressure of less than 90 mmHg (Tan & Thakur, 2021).

This study aims to investigate the effects of 15-minute daily aerobics exercise on systolic blood pressure in women over 60. The author aims to promote health by confirming if aerobics exercise is the most effective natural way to take care of the heart and lower BP without medications. If proven effective, it could help reduce the burden of hypertension in the chosen population. In this way, US mortality rates of cardiovascular diseases are lessened. The study will use qualitative and quantitative designs with weekly blood pressure monitoring over a month.

The data collected will be analyzed using One-way ANOVA. The aerobics exercise is expected to decrease systolic blood pressure by 5-7 mmHg in the chosen population. The results of this study will have significant implications and will be included in the treatment plan if proven successful, especially for the population at high risk for cardiovascular diseases. Suppose this is implemented; there is less chance of medicine prescription, fewer hospitalizations, morbidities, and mortalities.

Because the US has the highest mortality rate due to cardiovascular disorders, including hypertension, the author aims to know the most effective way to promote cardiovascular health in the most at-risk population, the elderly. Aerobics exercise has been proven to reduce BP because it decreases arterial pressure making the BP low. This will significantly contribute to the healthcare setting as it will probably lower hospitalization rates.