Problem
Part I
Medications affecting coagulation
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Coumadin
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Heparin
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Lovenox
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Mode of Action
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Indications
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Dosage/Route
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Side Effects
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Labs to Monitor
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Antidote
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Patient teaching
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Part II
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol.
The Provider is anticipating on sending her home with Coumadin.
i. Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.
ii. Develop 3 teaching points important for Sandra to know about her medications regimen.
iii. What questions would you ask Sandra to verify that she understand the 3 teaching points?
Paper should be a minimum of 3 paragraphs with 5 sentences per paragraph a minimum of 1 citation and a reference page
Part III
You are called to the room and find Michael 2 hours old has been very irritable and spitting up large amounts of formula. He is very jittery. You do not know the maternal history before coming into the room so you advise the mother that you would like to return the baby to the nursery for an assessment and monitoring. In the medical record you focus on prenatal history. You witness the baby having some significant tremors. What would you suspect? Michaels VS are: T (axillary) - 36.0, RR- 70, HR- 166, he is very alert, irritable, and does not console easily. Is moving constantly, and sucking very vigorous on the pacifier you provide for comfort. You place the baby under the warmer and obtain what labs?
It is determined that this baby is going through opioid withdrawal. Neonatal Abstinence Syndrome requires close observation and scoring. Methadone may be used. Neonatal Abstinence Syndrome Shows both the signs of withdrawal, scoring and the nursing care of a baby with Neonatal Abstinence Syndrome.
The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.