Discuss a detailed treatment plan for this patient including patient education.NSG 590 Instructions for Case Study #2The case study assignment provides the student with the opportunity to synthesize and apply the concepts learned from Advanced pathophysiology, pharmacology, and assessment.
In this written assignment, the student will document their findings and demonstrate application of course content. Questions 1-9 should be answered in this written assignment. The written assignment should be APA formatted and include current peer-reviewed references and scholarly citations.Case StudyA 52-year-old patient presents for follow-up after hospitalization for a Deep Vein Thrombosis (DVT) in the left leg. She is currently taking Coumadin 8mg and checks her INR with an at home monitor. She had thrombolysis while in hospital and reports a decrease in swelling and tenderness of left leg. She also is positive for Factor V Lieden but due to starting Coumadin on admission to the hospital they were unable to draw a complete clotting panel. The patient is in today and asking why her INR is elevated and how long she should be on Coumadin.Past Medical History- Patient also reports that she is asthmatic and hypertensive.Allergies- None KnowMedications- Coumadin 8 mg daily, HCTZ 25 mg daily, Advair 250/50 dailyPhysical Exam:Weight: 160 lb Height: 65 in BMI: 26.6BP: 160/92 Temp: 98 Pulse: 70 Resp: 18Labs:CBC: WBC: 10.2 HGB: 13 HCT: 40 PLT: 326BMP: Glucose: 145 BUN: 24 Creat: 1.4 K: 3.9LFT: AST: 35 ALT: 42 Alk Phos: 35INR: 4.5Please answer the following questions related to the case study. Be brief and to the point in your responses to ALL questions. The word count is outlined within each question. Do not go over the word limit for each question or points will be deducted.1. Discuss the pathophysiology of a DVT in no more than 150 words.2. List the tests that should be included in a clotting panel and briefly (in no more than 150 words) explain why?3. What is thrombolysis and why was that included in the original treatment of the DVT? (explain in one hundred words or less)4. When completing the history and physical exam, what questions would you include in the review of the systems? (Please be succinct and explain in no more than 150 words)5. Please provide your findings in a detailed physical examination. (Please be succinct and provide no more than two pages).6. Discuss the INR results in 150 words or less. What changes, if any, would you make and why?7. How long should this patient remain on Coumadin and the rationale? (explain in 100 words or less)8. When considering the health assessment provided, are the current medications appropriate? Why or why not? (in 100 words or less)9. Discuss a detailed treatment plan for this patient including patient education. (This plan should be succinct and no more than two pages.)
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