solved: A 52-year-old female patient presents for follow-up 7 days a

  

A 52-year-old female patient presents for follow-up 7 days after hospitalizationfor her first deep vein thrombosis (DVT) in the left leg. She is currently taking rivaroxaban (Xarelto) 15 mg once daily. She had thrombolysis while in hospital and reports a decrease in swelling and tenderness of left leg. She also is positive for Factor V Leiden.  The patient is in today and asking why she is taking rivaroxaban and not warfarin (Coumadin) like some of her friends who had a similar problem. She also wants to know how long she should be on rivaroxaban. Past Medical History- Patient also reports that she is asthmatic and hypertensive.Allergies- None KnownMedications- Rivaroxaban 15 mg daily, HCTZ 25 mg daily, Advair 250/50 daily, Ibuprofen 400-600 mg po prnPhysical Exam:Weight: 160 lb   Height: 65 in   BMI: 26.6  BP: 160/92   Temp: 98   Pulse: 70   Resp: 18Labs:CBC: WBC: 10.2 HGB: 13 HCT: 40 PLT: 326BMP: Glucose: 145 BUN: 28   Creat: 1.5   K: 3.9  CrCl 50 mL/minLFT: AST: 35   ALT: 42   Alk Phos: 35  How long should this patient remain on rivaroxaban and the rationale?  Health Science Science Nursing NURS 512 Share QuestionEmailCopy link Comments (0)

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