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

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Definitions:

Federal Funds Market

The Federal Funds Market is a financial market that allows banks to borrow or lend excess reserves to each other on an overnight basis, with interest rates known as the federal funds rate.

Required Reserves

The minimum amount of funds that a bank must hold in reserve against deposit liabilities, as mandated by central banking authorities.

Open Market Sale

The selling of government bonds to the public or banks by the central bank to control the money supply.

Discount Rate

The interest rate charged by central banks on loans offered to commercial banks or the rate used to discount future cash flows to present value.