ACTIVE LEARNING TEMPLATE: Diagnostic Procedure STUDENT NAME _____________________________________ PT/INR PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure Tests to help detect and diagnose a bleeding disorder or excessive clotting disorder PT/INR Indications Differentiate between deficiencies of clotting factors II, V, VII, and X, which prolong the PT; and congenital coagulation disorders, such as hemophilia A (factor VIII) and hemophilia B (factor IX), which do not alter the PT ？ Evaluate the response to anticoagulant therapy with coumarin derivatives and determine dosage required to achieve therapeutic results Interpretation of Findings normals findings pt 12.0-14.0 sections inr of 1.1 or below is considred normal an INR range of 2.0 to 3.0 Potential Complications lightheadness, brusing, bleeding CONSIDERATIONS Nursing Interventions (pre, intra, post) Review the procedure with the patient. Inform the patient that specimen collection takes approximately 5 to 10 mins Remove the needle and apply direct pressure with dry gauze to stop bleeding. Observe venipuncture site for bleeding or hematoma formation and secure gauze with adhesive bandage. Promptly transport the specimen to the laboratory for processing and analysis Client Education PT/INR of the importance of taking precautions against bruising and bleeding, including the use of a soft bristle toothbrush, use of an electric razor, avoidance of constipation, avoidance of aspirin products, and avoidance of intramuscular injections. Inform the patient of the importance of periodic laboratory testing while taking an anticoagulant Nursing Interventions apply pressure to the site and bandage asess foe signs of lesions on skin checks labs ask patient about pain

Active Learning Template Diagnostic Procedure Form

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