The nurse is caring for a patient prescribed enoxaparin. The nurse should monitor Complete Blood Count (CBC) and basic metabolic panel (BMP), prothrombin time (PT).
Enoxaparin is low molecular weight heparin (LMWH) and it is used to treat and prevent clinical conditions such as acute coronary syndromes, pulmonary embolism (PE), deep venous thrombosis (DVT), venous thromboembolism (VTE) treatment, and periprocedural anticoagulation.
Enoxaparin has the identical side effects as heparin. Since antidote such as protamine has reduced effectiveness, bleeding complications can be fatal and life-threatening.
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According to the 8th edition, the volume of normal saline flush that you should administer is 3mL.
The administration of epinephrine with normal saline has changed from the 7th edition of neonatal resurrection to the 8th edition.
<h3 /><h3> Epinephrine and normal saline volumes</h3>
- In the 7th edition volume of normal saline was 0.5 to 1mL depending on the weight.
- In the 8th edition, the volume increased to 3mL for all newborn's weights.
In conclusion, the intravenous flush of epinephrine and normal saline should be 3mL.
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Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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