Care Plan Help?-thromboembolism

[natchat5]

Hi this is my first time using this. I need help.

My patient is 62 year old male. Had stroke in 2004 & now hasimpaired communication & Right sided weakness. He's had a CABG & mitral valve replacement. Also has A. Fibrillation. Patient presented to hospital with abdominal pain & felt his heart fluttering. CT scan revealed L atrial thrombus. He has been recieving Heparin drip & Coumadin & will be released tomorrow as labs are fine. He complains of SOB, but his respirations are even & look unlabored. Clear lung sounds bilaterally. O2sat 98% room air. Capillary refill example: Ineffective (specify) Tissue Perfusion. what should I put in this slot? Risk for Ineffective Total Body Tissue Perfusion? Is this just too far fetched? Need help. Thanks

Oh, my patient also has HTN. No DM. Also had cardiac stents placed in mitral valve

Last edited by natchat5 : Today at 09:35 PM. Reason: additional text