Reference no: EM133505907
Assignment:
Case 1
J.C is a 70-year-old male patient with a history of atrial fibrillation that is controlled with medication. His medication regimen also includes warfarin(Coumadin). His daughter has taken him to the Coumadin Clinic today, and she has several questions for the nurse.
1. C.'s daughter ask, "I understand why my father takes a medication for his heart rhythm problems, but why does he need a blood thinner?" How should the nurse answer the daughter's question?
2. C.'s daughter also asks about her father's clotting times. The nurse states that the prothrombin time is 19 seconds and INR is 2.8. Are these values therapeutic?
3. If the INR was 3.5 and J.C showed signs of hemorrhage, what treatment would the nurse expect to be ordered?
CASE 2
K.D is administered to cardiac care uni with acute ST segment elevation myocardial infarction involving his left main coronary artery supplying blood to his left ventricle. He began to have crushing chest pain about 3 hours ago. He is being prepared to receive alteplase intravenously.
1. K.D's wife is asking the nurse how this drug works and if it will save her husband's life. What is the nurse best response?
2. What nursing care will be a priority for K.D after thrombolytic therap?