What pertinent laboratory values and measurements would you ...

[dbose]

What pertinent laboratory values and measurements would you expect the physician to order and the results of which you will monitor?
 
  Explain the reason for each test.

Question 2

You identify pain as a key issue in the care of L.J. List four interventions you will choose for L.J. to address his pain.
 
  What would be ideal interventions?

[tranoy]

Answer to Question 1

 Platelet count: Enoxaparin might decrease the platelet count.
 Complete blood count (CBC): Used to monitor for blood loss from bleeding that might or might not
be evident while L.J. is on anticoagulant therapy.
 Chest x-ray (CXR) examination: For evaluation of pulmonary and cardiac systems.
 D-dimer assay: High levels are associated with thrombotic problems, such as DVT.
 scan (ventilation/perfusion lung scan): Used to test for the presence of pulmonary embolism.
 Computerized tomographic angiography (CT angiography or CTA): Used to test for the presence of
pulmonary embolism.
 Arterial blood gases (ABGs): Used to monitor respiratory status and oxygenation.
 Test for occult blood in stool (guaiac) and/or emesis: To monitor for occult gastrointestinal bleeding.

Answer to Question 2

 Get specific information on the symptoms; verify with the patient the location, quality, intensity,
onset, duration, and expression of pain.
 Assess and monitor those factors that increase or decrease pain.
 Assess and monitor emotional responses and coping mechanisms to pain.
 Eliminate or modify those stimuli that increase pain.
 Evaluate the effectiveness of his pain medication.
 Teach him techniques he can use to modify his own pain (e.g., relaxation, imagery, distraction).

[dbose]

Excellent

[pratush dev]

TYSM