Scenario 2 T.M, a 57-year-old man, has thrombophlebitis in the right lower leg.

Scenario 2 T.M, a 57-year-old man, has thrombophlebitis in the right lower leg.
Scenario 2 T.M, a 57-year-old man, has thrombophlebitis in the right lower leg.

Scenario 2

T.M, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subQ q6h was prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were also prescribed.

  1. How does heparin work and why was it prescribed? (USLO 5.2, 5.3, 5.4)
  2. What laboratory test(s) would be monitored for patients taking heparin? Explain your answer. (USLO 5.3, 5.6, 5.8)
  3. Explain the differences between heparin and enoxaparin. Are there advantages to either of these anticoagulants? (USLO 5.1, 5.2, 5.3, 5.4)

RELATED: D.K was given alteplase in the emergency department while suffering from an acute myocardial infarction.

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