aria_alice
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Hello, all. I know this is repetitive topic on the site but I'm still confused despite reading the other articles. PT = measures time (secs) of blood to clot. Used to determine if pt has a bleeding disorder, or if coumadin therapy is adequate. PTT = Same with PT but if heparin therapy is adequate. INR = standardized ratio to determine efficacy of coumadin. My question is, is PT only for coumadin, and is PTT only for heparin? I feel like I've seen patients who weren't on those meds and sometimes PT/PTT/INR were ordered. Was it just part of admission labs or am I missing something? Do we use PT/PTT/INR for other anticoags efficiency? Or is PT/PTT/INR used to determine blood clotting in general even if patient is taking no anticoags?
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Hello. I got to follow someone in the ICU today for a few hours and one of the patient has a NG tube with tube feeds running. I forgot to ask the nurse I was with but how do you check residuals if they're on continuous tube feeds? Do you hold the tube feeds and then wait 30min and then check? Or do you just pause the tube feeds, check immediately and then resume? Also what are some tips for listening for tube placement? I've tried to do auscultation before and I could barely hear anything. I dont really know what should I be expecting to hear. I don't think a lot of hospitals has the pH strips for checking :/
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I should have been more clear; I meant more on post-op. But your answers have been great, thank you!
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I was talking to a nurse during one of my clinicals regarding NPO and bowel sounds and he said something that confused me. In nursing school, we were taught that typically a patient in NPO would have hypoactive bowel sounds since there is no food to cause intestinal movement. However, the nurse I was speaking with said that the patient's bowel sounds would be hyperactive because they are hungry therefore you'll hear growling sounds. I personally haven't heard a NPO patient with hyperactive bowel sounds. I'm not sure if I misunderstood him or what but has any of you experienced this? Is this right, wrong, common, rare? Thanks