pegan64

does not explain the value of INR

I'm really struggling here. I was given a pharm assignment and this patient has a PT/INR of 80/5. She is receiving Warfarin therapy so the INR isn't TOO high, it should be under 5 though, but isn't the PT supposed to be like 13?? How can it be 80, what does that mean? Also, I need to prioritize 15 problems with her and I'm just so lost at how to go about it, but I've listed a general list below for some background, Atrial Fibrillation BP 90/60 (she normally has HTN so I thought this was significant) Irregular Heart Rhythm PT/INR Large Hematoma on R forehead low Potassium (3.1) low sodium (128) low-grade fever (99.6) Headache (5/10) Pitting edema on ankle (WHY does she have low sodium and K if she has edema? wouldn't here sodium and K be elevated bc of fluid retention?) Weak Peripheral Pulses (posterior tibial, dorsalis pedis 1+ bilaterally) Bruising on R side of face, R hip and R shoulder Osteoarthritis Occasional Incontinence Dry, Flaky Skin I am also expected to give rational for the ranking of each and a treatment any help is so so very appreciated!!!! More background: Pt has had two MIs, class 1 HF, CAD, and atrial fibrillation she is currently taking: Aspirin 325mg PO daily Furosemide/Lasix 40mg PO daily Metolazone/Zaroxolyn 5mg PO daily Potassium chloride/K-Dur 20mEq PO daily Rosuvastation/Crestor 10mg PO daily Warfarin/Coumadin 5mg PO daily Garlic 2 capsules PO daily

Hi guys! I've been accepted to Chamberlain and Mount Carmel and need to make a pretty hasty decision. What are your thoughts? I'm not sure I can imagine myself at Mt. Carmel just from the atmosphere I got strolling through, but I might just be judging too quickly. Chamberlain on the other hand seemed to be very up to date and I like that there aren't religious statues everywhere you turn, but I know Mount Carmel is much more respected as a good school to graduate from and Chamberlain is more of a "commercial college". Anyone have experience, does Mount Carmel really help you secure a better job or have a better looking resume? I'm going for the BSN program also. Thanks!