
DVT grandpa
Presentation
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Science
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University
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Practice Problem
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Easy
M Huzaimi Haron
Used 4+ times
FREE Resource
3 Slides • 5 Questions
1
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The chest pain was sharp and was brought on by taking deep breaths. He also coughed up fresh blood.
He has recently been immobile for 6 weeks due to a fracture of the femur. On examination, his blood pressure was 100/62 mmHg, pulse rate 110 beats/minute, temperature 36.7°C, and respiratory rate 24 breaths/minute. His SpO2 was 92% on air.
He was diagnosed to have pulmonary embolism and was started on unfractionated heparin therapy immediately.
3
Open Ended
Explain the mechanism of action of heparin and the reason for its use in this patient.
[4 marks]
4
Open Ended
State ONE (1) contraindication to be considered in this patient when starting him on heparin.
[1 mark]
5
Open Ended
State the specific blood investigation required to monitor heparin therapy in this patient.
[1 mark]
6
Open Ended
Give THREE (3) reasons why heparin should not be continued for more than 5-7 days.
[3 marks]
7
Open Ended
State ONE (1) oral anticoagulant that is used to replace heparin that requires monitoring and explain its mechanism of action.
[5 marks]
8
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