Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R ti
Posted: Wed May 18, 2022 7:55 pm
Mr Jones is a 59-year-old man who was admitted 4 days ago
following a motorcycle accident. He sustained a fractured R tibia
and fibula. He underwent external fixation of the fracture 3 days
ago. This morning he was complaining of some shortness of breath
and chest pain. A 12 lead ECG showed non-specific ST segment and T
wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24,
SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical
history: type 2 diabetes, peripheral vascular disease and impaired
renal function GFR 60ml/min. He smokes 1 pack per day, but says he
is going to give it up. Normally does little exercise and weighs
89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the
rationale for commencing Dalteparin and outline the mechanism of
action and nursing care required while on this drug
following a motorcycle accident. He sustained a fractured R tibia
and fibula. He underwent external fixation of the fracture 3 days
ago. This morning he was complaining of some shortness of breath
and chest pain. A 12 lead ECG showed non-specific ST segment and T
wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24,
SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical
history: type 2 diabetes, peripheral vascular disease and impaired
renal function GFR 60ml/min. He smokes 1 pack per day, but says he
is going to give it up. Normally does little exercise and weighs
89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the
rationale for commencing Dalteparin and outline the mechanism of
action and nursing care required while on this drug