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Administer medications ( steroids IV then PO, anti-tussives/ expectorants( reduce cough/ expectorate sputum), antihistamines/nasal decongestive( reduces sneezing and rhinorrhea)Provide respiratory status Encourage hydrationSteroid side effects: hyperglycemia, weight gain, poor skin integrity, steroid psychosis. Mood swings , eye changes ( glaucoma), Cushing’s syndrome, fluid retention)GOALSMaintain patent airwayreports feeling comfortable while breathingpatient will demonstrate pursed lip and diaphragmatic breathingABG’s levels to baselineImprove ability to participate in ADL’sProvide compression stockingsO2 therapyProvide warm moist heat ( heat vasodilates)Monitor labs (PT, PTT, INR, CBC, Platelets, and chem 7 ( NA+, K, CR, BUN, H&H, albumin )Look for increase BPAdminister medication (thrombolytic therapy, anticoagulants, antibiotics, anti-inflammatory agents.Anticoagulation therapy : Heparin SQ –prevent development of DVT (5000 units q8h) ( Monitor aPTT values normal values are 30-40 seconds therapeutic level with heparin should be 1.5 -2 times normal value antidote is protaminesulfateHeparin IV nursing interventions: 1. Always use IV pump 2. No not alter rate without order 3. Do not piggyback into infusion 4. Follow hospital protocol for monitoring PTT and titrating IV infusion Coumadin (Warfarin): Monitor PT /INR and platelet count. Start while still on heparin IV takes 3-5 days for full coagulation. Therapeutic affects 1.5-2 x control. Given in the afternoon or p.m. when lab results can be evaluated. ( normal PT values are 11.0-12.5 seconds, INR 0.9-1.1, Platelet 150-400Respiratory 8
SG HYPOXIA ARTERIAL VENOUSCheck laboratory studies-serum lipids, PTT (partial thromboplastin time) normal range is 60-70 seconds, and PT. PTT test measures how long it takes for the blood to clot. A longer than normal value may mean a lack of or a low level of one of the clottingfactors. When on heparin PTT values should be closely monitored. Heparincan cause PTT times to become longer than they should. Prothrombin time (PT) is a blood test that measures the time it takes for the liquid portion (plasma) of your blood to clot.SURGERYS Venous thrombectomy: is done when thrombi lodge in the femoral vein andtheir removal is necessary to prevent pulmonary embolism or gangrene Additional info A mismatch between oxygen supply andits demand at the cellular level may result in a hypoxic condition. Inadequateoxygen to support metabolic activity. Hypoxia in which there is complete deprivation of oxygen supply is referred to as anoxiaArteries carry blood to organs and muscles. It is a muscular tube with a smooth lining and flexible walls that allow blood to pass freely. Active muscles need more oxygen, requiring increased blood flow. Healthy arteries can meet this need. If an artery is damaged, blood flow maybe slowed or blocked. This means the muscles and tissues don’t get all the The venous system is a low pressure system in comparison with the arterial circulation. The low pressure