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What is the rationale for giving heparin to a patient with DIC - disseminated
intravascular coagulation
Heparin prevents further micro-clots and prevents platelet aggregation: thrombosis of
small vessels has the greatest effect on mortality in DIC, not hemorrhaging
After one hour the nurse reassess the patient and finds that the right leg is is
cooler than the left. There is firmness at the puncture site
A hematoma may be forming and the physician should be informed
Cheyne-Strokes Breathing
Rhythmis waxing and waning of the depth of breathing with regularly recurring periods
of apnea secondary to CNS Disease and CHF
Biot's Breathing
Irregular breathing interspersed with variable periods of apnea secondary to stroke,
trauma, and increased intracranial pressure
Kussmaul Breathing
Rapid, deep breathing that may be secondary to metabolic acidosis
Respiratory acidosis is characterized by:
A PaCO2 above the normal range of 36-44 torr
Damage to the recurrent laryngeal nerve can cause:
Vocal cord paralysis, inadequate gag reflux, stridor, and airway obstruction
What selective lab tests are used for assessing coagulation cascade prior to
surgery
PT and PTT - prothrombin time and partial thromboplastin time
Respiratory Alkalosis is characterized by:
reduced PaCO2. Hyperventilation is a frequent cause as well as anxiety, fever, central
nervous system lesions and aspirin
Nitroprusside is classified as a :
peripheral vasodilator, the onset is 30-60 seconds, the peak action is 1-2 minutes and
the duration is 2-5 minutes
Prolonged use of Nitroprusside may result in:
Cyanide toxicity: can lead to thiocyanate toxicity- fatigue, nausea, anorexia, muscle
spasms, and dissorientation