The patient’s activated partial thromboplastin time (aPTT) is 138 seconds. Review the chart to determine the most important question for the charge nurse to ask the bedside nurse.

  • Demographics
  • Past medical history
  • Vascular access
  • Assessment
  • Medications
  • 75-year-old female

    Weight: 80 kg

    Height: 170 cm

  • Chief complaint: right leg deep vein thrombosis

    History of type 2 diabetes mellitus and hypertension

    Family history of mother dying from breast cancer at 62 years, father dying of a stroke at 71 years

  • Peripherally inserted central catheter right basilic vein

    Peripheral IV left hand, heparin-locked

  • HEENT: Within defined limits (WDL)

    Skin: Greenish-yellow ecchymosis to the forearms

    Respiratory: Diminished breath sounds right upper lobe, coarse breath sounds throughout

    Cardiovascular: Decreased pedal and posterior tibial pulses right leg. Palpable 2+ bilateral radial and left pedal pulses. Normal sinus rhythm.

    Gastrointestinal: Denies nausea, last bowel movement yesterday. Soft, nontender abdomen.

    Genitourinary: 20 mL/h urine output

  • Lactated ringers 50 mL/h infusing via PICC

    Heparin 1300 units/h infusing via PICC

    Ceftriaxone 1 g IV q12h

    Levofloxacin 750 mg IV once per day

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