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 only medical) and nursing care.
My client has a history of Afib and a previous MI. So he was on Pradaxa and a baby aspirin at home. That's what caused the prolonged PT and INR correct? Would that be the etiology? And the only medical treatment I can think of is stop the anticoagulants and I read where Vit K was given too. Right track? I know S&S would be bleeding and bruising correct?
Problem is I have to have a source for all this so even the stuff I can come up with I can't find in my books. Someone please tell me I'm at least thinking close to correct? Lol
His Pradaxa was discontinued. He is still receiving his baby aspirin. He is waiting for his levels to lower so he can have a biopsy. His pt was 22.4 and inr was 4.3. I do know why he was on the anticoagulant, I understand why he needed it with Afib.
Last edit by Stoogesfan on Oct 7, '12