Author Question: As you continue to assess H.K. over the following days, what evidence will you look for that ... (Read 34 times)

lracut11 · **on:** Jun 25, 2018

As you continue to assess H.K. over the following days, what evidence will you look for that
antibiotics are effectively treating the infection?

What will be an ideal response?

Question 2

Before the latest PT/INR results are back, the physician orders a heparin bolus of 5000 units
IV followed by an infusion of 1200 units/hr. The laboratory calls with a critical valuethe
aPTT is 120 seconds.

Based on this result, what action will you take?
What will be an ideal response?

ankilker · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

White blood cells (WBCs) will decrease on laboratory work.
Patient temperature will be within normal limits (WNL).
Wound will show signs of healing, and purulent drainage will cease.
Pain in leg will decrease.
Erythrocyte sedimentation rate will decrease.
Wound cultures will come back negative for organism growth.

Answer to Question 2

The physician should be notified, and the infusion should be stopped or reduced and a follow-up
aPTT performed. The aPTT should be 1.5 to 2.5 times the control value.
Monitor M.M. for signs of bleeding. Send a stool sample to the laboratory for testing for occult
blood.
Monitor closely for developing disseminated intravascular coagulation (DIC) because this
complication is a possibility.