Elevated PT and INR - page 2
My client yesterday had an elevated PT and INR. My instructor chose that as my clients diagnosis. On my paper it wants to know the etiology, S&S, medical and surgical treatments (if applicable if not... Read More
0Oct 8, '12 by DeLanaHarvickWannabe, BSN, RNJust a thought - does he have impaired liver function?
0Oct 8, '12 by StoogesfanQuote from DeLanaHarvickWannabeNo, it wasn't anywhere in his medical history or doctor's notes. He does have stage 3 renal disease which would contribute to a longer elimination time.Just a thought - does he have impaired liver function?
0Oct 8, '12 by Sun0408Quote from StoogesfanAKD will lengthen the time it takes for the medication to be excreted, this is one reason dialysis is a reversal for pradaxa. But HD is used for active bleeding, uncontrolled by other interventions You are def on the right tract.No, it wasn't anywhere in his medical history or doctor's notes. He does have stage 3 renal disease which would contribute to a longer elimination time.
0Oct 8, '12 by StoogesfanThanks! The last care packet was a lot easier, I'm learning do much tho so it's worth it!
0Oct 9, '12 by Esme12, ASN, BSN, RN Senior ModeratorDo you see how you gave us information in little pieces slowly. Important pieces of information that were extremely important.
Here is how this started......My client has a history of Afib and a previous MI. So he was on Pradaxa and a baby aspirin at home.
It's all about the patient......what does this patient have and need.
You need to look up Pradaxa and renal failure and elevated PT/PTT, malignancies and common metastatic places of Lung CA.
0Oct 9, '12 by nurseprnRNFWIW: We totally understand how hard it is to put together a big-picture when you have a very imperfect idea of what's important. But this is what nursing is all about-- knowing how to think about it all. This is why NCLEX is so challenging for people who have a problem with seeing the bigger picture and are devoted to memorizing small bits of data.
Hint: lung ca, renal failure, and elevated coags ~ important.
0Oct 9, '12 by StoogesfanThanks everyone for the help. I think what was tripping me up what my instructor said no to do specifics for my client, really just like in general what are the etiology, prognosis, medical and surgical treatments and nursing care for the admitting diagnosis: which was elevated pt and inr. I ended up having to give specifics for my client tho cause general elected pt and inr was way too broad.