A client with system lupus erythematosus begins to bleed excessively from her nose and mouth. the...
A client with system lupus erythematosus begins to bleed excessively from her nose and mouth. the nurse suspects antiphospholipid syndrome. what action should the nurse take? what doctor orders should you except?
Homework Answers
The nurse should first ensure to control bleeding and prevent its complications by
- Encouraging patient to lean forward this can prevent the blood entering the throat and leading to aspiration
- The patient can be asked to pinch the nose gently
- A cold pack can be applied
The following doctors orders can be expected
- Corticosteroid therapy
- Transfusion (because bleeding occurs when the platelets drop below 30000) (Fresh frozen plasma are generally administered to to improve prothrombin or factor 2 to prevent bleeding ,platelets as per order)
- Continue anticoagulant drug in lower doses
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