Atrial fibrillation
Julia is a 91yo widow living alone in her suburban home. She has atrial fibrillation and is anticoagulated on Coumadin. Her INR is 2.9. She drives to church and the grocery store. She is able to manage her own finances. She hires someone to mow her lawn and clean her home.
Julia falls during and fractures her hip. She is admitted to the orthopedic unit and cannot have surgery until her INR is 1.0.
During this time Julia is on bed rest, receiving Morphine IV for pain and Vitamin K and fresh frozen plasma to reduce her INR. Julia becomes increasingly confused and nauseated.
- What are the risks for Julia during her hospital stay? List 3 nursing diagnoses and interventions for Julia.
- After Julia has hip surgery, what additional complications are possible?
Include all scholarly citation and reference use.
