Classroom Response Question A 75-year-old man fell at home and hit his head agai
ID: 125556 • Letter: C
Question
Classroom Response Question A 75-year-old man fell at home and hit his head against a table. His wife reports to their daughter that he does not have cuts or scratches, but there is a small lump on his upper scalp. She does not see any blood. He is taking-ranend an part of his treatment for chronic atial fibrilation, What is the main Os concern at this time? A. Pressure should be applied to the lump for 3 to 5 minutes. B. He will need to take two doses of warfarin tonight to blood clotting. the fall. As long as there is no bleeding. there is no concern. be exominedfor possibieinternalbleedrgfrom D. Classroom Response Question A 72-year-old woman is taking an over-the-counter multivitamin that contains ginkgo, Her physician has recommended that she start taking low-dose aspirin therapy as part of her treatment for transient ischemic attacks (TIAs). The concern with taking these two drugs together is: A.increased risk of gastric ulcer B.decreased action of the aspirin because of the interaction with the ginkgo. Cincreased risk of bleeding because of the ginkgo. D.antagonism of the action of the aspirin because of the multivitamins.Explanation / Answer
Classroom response question 1:
Scenario:
A 75-year-old man fell and hit against a table. No external injury is noted but a small lump is noted. Is on warfarin and anti-dysrhythmic drug for chronic atrial fibrillation. The main concern is
a. Pressure should be applied to the lump for 3 to 5 minutes.
Explanation:
The patient is at increased risk for bleeding due to the consumption of Warfarin and anti-dysrhythmic drugs. Moreover, he is in the old age (75 years) which is also a risk factor.
The lump indicates internal hematoma and not bleeding. If bleeding occurs then he would have symptoms like a headache, projectile vomiting, and double vision, etc. Therefore, Gentle application of pressure over the injured area will arrest bleeding. Application of pressure to the lump for 3 to 5 minutes can be done.
Consumption of additional warfarin will enhance the risk.
Classroom response question 2:
Scenario:
A 72-year-old woman is taking OTC multivitamin containing Ginkgo. She was recommended low-dose aspirin therapy for TIAs. The concern for these drugs taken together is:
C. Increased risk of bleeding because of Ginkgo.
Explanation:
Ginkgo products, if taken together with anticoagulants such as Aspirin, increases the risk of bleeding or bleeding-related problems like increased bleeding of the gums, bleeding in eyes, and even brain hemorrhage. Therefore, dose adjustment or frequent monitoring is necessary.
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