Emergency Record
A 67-year-old client with a mechanical mitral valve takes warfarin 4 mg each evening. Amiodarone was started 4 days ago for atrial fibrillation. The client reports new left flank and back pain and weakness. Blood pressure is 84/48 mm Hg, heart rate is 106/min, respiratory rate is 22/min, and SpO2 is 97 percent on room air. Hemoglobin is 7.6 g/dL, down from 11.9 g/dL, INR is 6.8, platelets are 214,000/mm3, creatinine is 1.0 mg/dL, and the abdomen has no visible bruising.
緊急紀錄<br>一位 67 歲、裝置機械式二尖瓣的病人 每天晚上服用 warfarin 4 毫克。因心房顫動 4 天前開始服用 amiodarone。病人主訴 新發生的左側腰部和背部疼痛 和虛弱。血壓為 84/48 毫米汞柱，心率為 106 次/分鐘，呼吸頻率為 22 次/分鐘，室內空氣下血氧飽和度為 97%。血紅素為 7.6 克/分升，從 11.9 克/分升下降，INR 為 6.8，血小板為 214,000/立方毫米，肌酸酐為 1.0 毫克/分升，且 腹部沒有可見的瘀傷。