History A 54-year-old female patient presented to the emergency department with a 6-h history of worsening shortness of breath and sharp, right-sided chest pain that was worse on deep inspi- ration. She denied experiencing palpitations, did not complain of nausea, and was not feeling lightheaded. She had a history of recurrent deep vein thromboses for which she was on lifelong warfarin. Her INR had been stable at 3.0–3.5 with 5 mg warfarin once daily for more than a year and had last been checked 4 weeks ago. Her only other past medical history was a recent diagnosis of active pulmonary tuberculosis, for which the patient had been prescribed isoniazid (along- side pyridoxine), rifampicin, pyrazinamide and ethambutol. The patient worked as a primary school teacher and was usually fit and well. She had never smoked and denied any regular alcohol intake. There was no relevant family history. Examination The patient appeared moderately dyspnoeic on exertion but was able to speak comfortably at rest. Her pulse rate was 110 beats per minute and regular and her blood pressure was stable at 130/84 mmHg. Her respiratory rate was 22 breaths per minute. She was afebrile. I have read the History *YesNoResults A CT pulmonary angiogram scan showed large volume, bilateral pulmonary emboli but no evidence of associated right heart strain. *I have read the resultNo I didn't read itOther:The reason for developing pulmonary embolus at this point of time is due to drug interaction at the level of*1 pointa. absorptionb. Distributionc. metabolismd. elimination

A 52-year-old female presents to the emergency room with swelling over her right calf for the past 3 days. Her right calf is warm, erythematous, and tender to palpation. A duplex is performed and shows a deep vein thrombosis (DVT). This is her first DVT. She is started on warfarin and told that she must continue it for the next 3 months. What effect does warfarin have on the coagulation panel?Question 6Answera.Increases bleeding timeb.Increases prothrombin timec.Decreases partial thromboplastin timed.Increases partial thromboplastin timee.Decreases prothrombin time

A 34-year-old  female with a mechanical mitral valve has been taking warfarin  chronically to prevent thrombosis.Warfarin dose: 5 mg PO daily INR range for the past 6 months: 2.6 - 3.1 (INR goal 2.5 -  3.5)She was admitted  for ventricular tachycardi and started on Amiodarone infusion 150mg\dayWhich of these actions is considered the most safe practice ?Question 2Select one or more:A.Increase the dose of Warfarin after 3 days from initiation of amiodaroneB.Monitor INR closely C.Reduce the dose of amiodarone to 75 mgD.consider decreasing the dose of warfarin to 2.5mg \day

A nurse is caring for a 39-year-old female client on a medical-surgical floor. The interdisciplinary team has determined that the client is at a risk for the development of a pulmonary embolism and has therefore implemented prophylactic measures. The client is prescribed Warfarin therapy for its anticoagulant effects. Based on the nurse's understanding of the drug, the nurse confirms that the drug has reached a therapeutic level when which of the following coagulation results are obtained?The client's baseline coagulation studies:Activated partial thromboplastin time (aPTT): 30 secondsInternational normalized ratio (INR): 1.5Prothrombin time (PT): 10 secondsCassidy RhodyID: 112703Question 6Select one:1.PT 7 seconds, INR 2.52.PT 19 seconds, INR 2.03.PT 25 seconds, INR 2.14.aPTT 35 seconds, INR 3.0

A 57-year-old woman is brought into the emergency department because of the sudden onset of severe left-sided chest pain and shortness of breath. She had flown back to the United States yesterday following a tour of Southeast Asia. Other than feeling tired after her long trip, she was in her usual state of good health, but this afternoon she had the sudden onset of stabbing left chest pain and noted severe shortness of breath. She denies any previous history of peripheral vascular, cardiac, or respiratory disease. Past medical history is unremarkable, and she is not currently taking any medications. On examination, the patient is in severe discomfort. Temperature is 100.5°F (38°C) orally, pulse 130, respirations 26, and BP 130/90. Pulse oximetry reveals an O2 saturation of 88% while the patient is breathing room air. Physical examination is otherwise unremarkable. Stat labs show normal kidney function. A chest radiograph and ECG are obtained.  What is the most appropriate action at this time?

Answer with True or False.As EN you have been delegated to care for Ms Dittmer with her uncontrollable pain, warfarin that requires titration and her pulse is 48. Due to the complexity of the patient and the unknown cause of her uncontrollable pain the EN able to decline the delegation of care for Ms Dittmer?Medicines Management Policy - cick hereSelect one:TrueFalse