Med surg @ Ro- REg, I had a 33 yo female with Crohn's, she also had colitis and an embolism in the past. I found out that you use CA drugs for Crohn's. I know (now) we were told that in class, but I guess I wasn't paying attention. Having a pt, on what you're going to be tested on really helps.
She was on Coumadin so I now have a little better understanding of PT and INR. Her INR went up to 9.2 and Ms Phelps said she'd never seen one that high and that she thought it was probably a mistake, I told her that the nurse had the lab to verify it. They stopped coumadin and gave her a Vit K shot (one), the next result that came back was 1.2...........Ms Phelps was right, she said that what should have been done, is the nurse, instead of just asking it to be verified, should have called the Dr, got another order to re draw the blood and sent it again. I guess that's why Ms. Phelps makes the big bucks. One more to go!!!
Christie Harris
NUR130
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