2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin? 3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected. Explain the expected results of PT on the following coagulopathies: 3.1 Disseminated Intravascular Coagulation 3.2 Liver Disease SERUM PROTHROMBIN TIME 3.3 Vitamin K Deficiency 4. Illustrate and label the different steps of Serum Prothrombin Time.
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2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin?
3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected.
Explain the expected results of PT on the following coagulopathies:
3.1 Disseminated Intravascular Coagulation
3.2 Liver Disease SERUM PROTHROMBIN TIME
3.3 Vitamin K Deficiency
4. Illustrate and label the different steps of Serum Prothrombin Time.
Step by step
Solved in 4 steps
- 1. Enumerate the different factors that interfere with the validity of prothrombin time (PT) results. 2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin? 3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected. Explain the expected results of PT on the following coagulopathies: 3.1 Disseminated Intravascular Coagulation 3.2 Liver Disease SERUM PROTHROMBIN TIME 3.3 Vitamin K Deficiency 4. Illustrate and label the different steps of Serum Prothrombin Time.1. What are the possible sources of error in the measurement of CK and LDH activity? 2. What is responsible for the false elevations of CK levels in hemolyzed samples? 3. How can the specificity of CK-MB in the diagnosis of myocardial infarction be increased? 4. Complete the table. Laboratory Report No. 3 Electrophoretic mobility Tissue distribution Sources of elevation CK Isoenzymes LDH Isoenzymes1. Give the diagnostic tools for disseminated intravascular coagulopathy. 2. Differentiate cross-linked clot from non-cross-linked. How will you differentiate them? 3. Importance of d-dimer testing.
- A 65-year-old m a n with a 5-year history of alcoholic cirrhosis comes to the physician for a follow-up examination. Physical examination shows palmar erythema, gynecomastia and moderate ascites. Laboratory studies show an increased prothrombin time. Replacement of which of the following coagulation factors is most likely to improve this patient’s prothrombin time ?A) Factor VII (proconvertin)B) Factor VIII (antihemophilic factor)C) Factor IX (plasma thromboplastin component) D) Factor X (Stuart factor)E) Factor XI (plasma thromboplastin antecedent) F) Factor XII (Hageman factor)1. If the MCHC value is decreased, what term is used to describe the peripheral blood smear finding? 2. Aside from automated and microhematocrit determinations, what red blood cell index can be used for indirect measurement of hematocrit? 3. Automated and microhematocrit determinations present discrepancy in the results due to what factor? 4. What is the wavelength used in the hemiglobincyanide method of hemoglobin determination? (Answer in this format: numerical value space abbreviated unit)1. Differentiatie albumin from globulin 2. What is the common and reliable way of quantifying serum protein fractions, provide thereference values for each fraction as a percentage of the total protein 3. based on the quantitative quantitative biuret technique, identify tge specific step in isolating and removing globulins
- 1. An IV of Zofran 50 mg in 50 mL is to infuse in 1 hr using 15 gtt/mL set. Calculate gtt/min._gtt/min 2.1000 mL of 0.9% Normal Saline is ordered to infuse over 5 hours. Calculate the flow rate. __mL/hr 3. You must administer an infusion of 200 mL/hr of D5W to your hypoglycemic patient using a drop set of 15 gtt/ mL. Calculate the flow rate in gtt /min._gtt /min 4. Nurse is preparing to administer Dextrose 5% in water (D5W) 500mL IV bolus to infuse over 4hrs. How many mL/hr will the nurse set the IV pump to deliver?_mL/hr 5. Administering LR 1 L over 12 hrs. Drop factor of manual IV tubing is 15 gtt/mL. What rate should nurses set IV infusion in gtt/min? (round to the nearest whole number)_gtt/ minAn 8-month-old infant presents to the emergency department with a 2-day history of diarrhoea and poor fluid intake. On clinical examination, capillary refill time is 3 seconds and you assess the level of dehydration as 10%. Of the following intravenous fluids, the most appropriate for immediate use is:a. 5% dextrose with 0.45% salineb. Normal salinec. Lactated Ringer'sd. 5% dextrose with 0.9% salineThe following complete blood count (CBC) is completed for a client with chemotherapy-induced bone marrow suppression include: hemogiobin of 8.2 g/dL, hematocrit of 29%, platelet count of 160,000/ul, and white blood cell count of 2500/µL. The client was placed on filgrastim (Neupogen) 480 mcg SQ for 2 weeks. Which laboratory finding indicates that this therapy is effective? O The client's hemoglobin is 8.6 g/dL The client's hematocrit is > than 30% O The client's white blood cell is 3500/µl The client's platelet count is 165,000/µL
- 8) An order is written for 10 mL of a 10% calcium chloride injection and 10 mL of multivitamin o) An order is written for 10 mL of a 10% calcium chloride iniection and 10 mL of multivitamin Injection (MVI) to be added to1000 ml. of D5W. The infusion is to be administered over 6 hour* me iv set delivers 10 drops/ mL. What should be the rate of flow in drops per minute to deliver this infusion? normal saine is0.9%odum chloriee access TPN/P Perisher 9) A nurse hangs a bag of D51/2 NS with 20meg kcl. The bag is a 1 liter bag and needs to be infused at 120ml/hour. She needs to deliver a bolus of fluid first of 200ml to be infused in 30 minutes before she can run the regular IV rate. She has an IV set that is 10gtts/ml. She gets off work at 6pm and wants to know if she will need another bag of IV fluids before she leaves work. It is currently noon. The bag of fluids will run out at what time?27.A patient receiving combination chemotherapy containing doxorubicin experiences dyspnea on exertion, peripheral edema, tachycardia and crackles. The nurse should suspect pulmonary edema, most like. a. Myocardial damage b. Veno-occlusive disease of the liver c. A post-renal obstruction d. Pulmonary toxicity 34.The nurse is admitting a patient who has been diagnosed with squamous cell carcinoma of the lung. When completing the history and physical assessment the nurse should assess the patient for? a. Dysphagia b. Halitosis c. Dyspepsia d. Hemoptysis3. Identify the hematocrit value on the chart 4. Write the units used for the evaluation of PT