Elevated pt and ptt - Study guides, Class notes & Summaries

HESI RN MED SURG/ACTUAL EXAM 1- A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110 mmol/L or SI), hematocrit of 34% and microcytic and hypochromic red blood cells. Based on the findings, which dinner selection should the nurse suggest for the patient? A. Beef steak with steam broccoli and orange slices B. Cheese pasta and a lettuce and tomato salad C. Broil white fish with a baked sweet potato D. Grill shrimp and seasoned rice with asparagus salad. 2- T...

What is high sensitivity troponin and when to use? - first line test for cardiac cell damage used for initial injury What is CKMB - CK isoenzyme specific to cardiac muscle tissue (MI) When should CKMB be used? - for suspicion of secondary ischemia after an initial infarct normal level for Troponin I - <0.04 normal level for CKMB - 3-5% of total CK What is BNP - B-type natriuretic peptide Normal BNP levels - <100 pg/mL Differential for chest pain - Consider: Myocardiu...

- Dyspnea, sudden onset, sharp stabbing chest pain, restlessness, impending doom, cough, Hemoptysis, Tachypnea, crackles, plural friction rub, s2 or s4 heart sound, tachycardia, low-grade fever, diaphoresis, petechiae over the chest and axillae, decreased SaO2 - Signs and sx of pulmonary embolism - High D-Dimer - DVT, PE, DIC labs all have - BNP, D dimer, metabolic panel, troponin - Labs to draw for pulmonary embolus - pulmonary angiography - Diagnostic test for PE - Yes. - Does the ...

NUR 425 Complex Care Exam 1 Blueprint 2023/2024. Understand the significance of the following Not required to memorize actual normal ranges • Systemic Vascular Resistance (SVR) o Resistance to left ventricle • Pulmonary Vascular Resistance (PVR) o Resistance to right ventricle • Wedge Pressure (PAOP/PAWP) o Estimates the left atrial pressure by “looking through” the lungs • Stroke Volume o Amount of blood ejected from left ventricle o Measure of CONTRACTILITY o Volume measu...

Hematology Case Studies Latest 2023 Graded A+ 75yo woman admitted w/ abdominal pn and found to have diverticulitis. Tx w/ IV abx, IV fluids and kept NPO for several days. On hospital day 6, she is noted to have ecchymosis over extremities. INR- 2.1, PT- 18, PTT- 34 Acquired coagulopathy due to Vit K deficiency (NPO and abx that kill bugs in gut that produce Vit K) Would affect factors II, VII, IX, X, proteins C and S Tx w/ Vit K 5 mg po daily 15 month old boy taken to pediatrician with multip...

Most of the volume in the human blood is made up of? -plasma -RBC -WBC -platelets plasma Which is NOT a vital function of blood? -transport O2 -absorb nutrients -transport CO2 -maintence of acid-base balance maintenance of acid base balance What order would a nurse question for a patient suspected to have hemophilia? -a blood draw for CBC, PT, and PTT -PRN ibuprofen for painful joint swelling -order to start an IV -FOBT lab test -PRN ibuprofen for painful joint swelling The nurse overhears a ...

measure of extrinsic clotting pathway - Answer-PT measure of intrinsic clotting pathway - Answer-PTT elevated PT and PTT - Answer-vitamin K deficiency DIC Glu-->Val point mutation - Answer-sickle cell disease elevated γ hemoglobin - Answer-HbF: beta thalassemia major, sickle cell disease bart's Hb: hydrops fetalis alpha thalassemia elevated δ hemoglobin - Answer-HbA2: beta thalassemia major and minor β4 hemoglobin - Answer-HbH: alpha thalassemia (--/-a) γ4 hemoglob...

ATI-MedSurg PN Exam Questions and Answers Arteriosclerosis obliterans - Answer-narrowing of the arteries in the legs and feet. Which leads to a decrease in blood flow and tissue damage. Common s/s: intermittent claudication, cold or numb feet at rest, loss of hair on lower legs, and weakened pulses. A nurse is caring for a patient who had an M.I. 24 hours ago, it is essential for the nurse to watch for ? - Answer-Ventricular dysrhythmia. Ischemic tissue can interfere with normal conductio...

You have a pt you are admitting that suffered an assault from which an individual used a metal pipe. You assess your patient to have ecchymosis to his left flank. You determine that your pt most likely has which of the following? a) hypocalcemia b) a ruptured spleen c) hemorrhagic pancreatitis d)retroperitoneal bleeding - d) retroperitoneal bleeding --The flank ecchymosis is indicative of Grey Turner's sign in the setting of recent trauma, this may have lead to the retroperitoneal bleed...

NUR 425-Complex Care Exam 1 Blueprint 2023/2024. You should know the normal values for: • Serum Potassium: o 3.5-5.0 mEq • PR interval: o 0.12-0.20 sec • QRS interval: o < 0.12 sec • Central Venous Pressure (CVP) in adults o 2-8mmHg • Cardiac Output (CO) in adults o 4-8L/min • Cardiac Index (CI) in adults o 2.2-4L/min/m^2 • MAP in adults o 70-105mmHg • Normal vital signs parameters for adults o BP: 120/80 o HR: 60-100 o RR: 12-20 o Temp: 97.8-99.1F, o Pulse...