Clinical Case Scenario Part of the nurse leader’s function in a…

Question Answered step-by-step Clinical Case Scenario Part of the nurse leader’s function in a… Clinical Case Scenario   Part of the nurse leader’s function in a health care facility is an active participation in formulation of policies and protocols related to daily operations in the unit.  Improvement of protocols concerning medications, infusions, algorithms, and the like must be a strength of the nurses so they may be able to provide accurate and safe nursing care.  Refer to the following clinical case scenario and follow up questions.  Additionally, you may see the attached video to help you go through sample questions included in this page. Clinical Case Scenario:  A 35-yeaar old male client is seen in the outpatient department following complaints of severe right leg pain, noticeable edema, and redness. Febrile, normotensive, and coherent, the client undergoes Doppler ultrasound of the leg and reveals positive for deep vein thrombosis.  Momentarily, the client develops gasping breaths, severe tachycardia, and sudden, sharp chest pain.  A CT-angiography of the chest shows marked bilateral pulmonary embolism.  A decision to start heparin infusion has been made. Before going through the questions, you may want to see the video related to heparin infusion drip calculation: https://youtu.be/10y4gRdnCy8 Questions: The order is to give 14 units/kg/hour of heparin infusion.  The client’s weight is 198 lbs.  The stock for heparin in the unit is 25,000 units of heparin in 250 ml of normal   saline.      Since the medication will be given by way of infusion pump, calculate the recommended ml/hour of heparin the client should initially receive.After 4 hours, the client’s due aPTT value is 40.  Based on the protocol, you must INCREASE the initial order (14 units/kg/hour) by 2 units/kg/hour.  What would be your new regulation in the infusion pump?If the client during heparin infusion suddenly develops epistaxis and bleeding gums, what would be your priority interventions.    Health Science Science Nursing Share QuestionEmailCopy link Comments (0)