Juanita Had a DVT and Was on Heparin in the Hospital

question 10

Multiple Choice

Juanita had a DVT and was on heparin in the hospital and was discharged on warfarin.She asks her primary care provider NP why she was getting both medications while in the hospital.The best response is to:

• A) Contact the hospitalist as this is not the normal guideline for proscribing these two medications and she may have had a more complicated case
• B) Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days to reach effectiveness
• C) Encourage the patient to contact the Customer Service department at the hospital as this was most likely a medication error during her admission
• D) Draw anticoagulation studies to make sure she does not have dangerously high bleeding times

---

Definitions:

Composite Depiction

Artistic representation combining elements from various sources or styles to form a cohesive whole.

Harihara

In Hinduism, a deity combining Vishnu (Hari) and Shiva (Hara), symbolizing the unity of their essences.

Gal Vihara

A rock temple of the Buddha located in Polonnaruwa, Sri Lanka, known for its large stone Buddha statues carved out of granite.

Colossal Sculpture

A very large statue, often exceeding human scale, designed to be admired from a distance.