The disposition begin for psychiatric patients admitted to the emergency department (ED) upon entry to ED.
Emergency Department is the initial purpose of contact for any critically unwell patient, needing immediate medical attention. trendy Emergency Departments are managed by qualified Emergency Physicians and nurses, trained specifically for providing emerging care to save lots of a life or limb.
Symptoms of a psychiatric patient includes feeling sad or down, confused thinking or reduced ability to concentrate, excessive fears or worries, or extreme feelings of guilt, extreme mood changes of highs and lows, withdrawal from friends and activities and significant tiredness, low energy or problems sleeping.
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A 30-year-old woman overdosed on pain pills and is unresponsive. she is breathing at a rate of 6 breaths/min with shallow depth. left untreated, she will develop?
A 30-year-old woman overdosed on pain pills and is unresponsive. She is breathing at a rate of 6 breaths/min with shallow depth. If left untreated, she will develop (4) hypercarbia and acidosis.
Hypercarbia is the excessive amounts of carbon dioxide dissolved in the blood. This can happen due to breathing problems, due to some disease, or due to hypoventilation. Hypoventilation is the lack of oxygen in the lungs.
Acidosis is the presence of extreme acids in the body fluids. There are several reasons for acidosis. These are: excessive production of acid, extreme reduction of blood bicarbonate levels or due to some other disease condition.
The question is incomplete, the complete question is:
A 30-year-old woman overdosed on pain pills and is unresponsive. she is breathing at a rate of 6 breaths/min with shallow depth. left untreated, she will develop?
hypocarbia and acidosis. hypercarbia and alkalosis.hypocarbia and alkalosis.hypercarbia and acidosis.To know more about hypercarbia, here
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Explain what it means for a goal to be SMART?
SMART is an acronym that stands for Specific, Measurable, Achievable, Realistic, and Timely. Therefore, a SMART goal incorporates all of these criteria to help focus your efforts and increase the chances of achieving your goal.
Which of the following is not a possible consequence of inadequate access to health care?
Fewer opportunities to catch identifiable diseases in time for effective treatment
Increased risk of undiagnosed heart disease, cancer, and other diseases
Missing annual wellness visits and follow-up appointments with doctors
Reduced risk of developing cavities, tooth decay, and bone loss
The statement that is not a possible consequence of inadequate access to health care is reduced risk of developing cavities, tooth decay, and bone loss (option D).
What is health care?Health care is the prevention, treatment, and management of illness or the preservation of mental and physical well-being through the services offered by the medical, nursing, and allied health professions.
Health care is a pivotal sector of any economy or nation as the well being of the populace is dependent on it.
Inadequate health care leads to severe breakout of diseases, which will not be easily diagnosed until it does damage. Some of the consequences include;
Fewer opportunities to catch identifiable diseases in time for effective treatmentIncreased risk of undiagnosed heart disease, cancer, and other diseasesMissing annual wellness visits and follow-up appointments with doctorsTherefore, the statement that is not a possible consequence of inadequate access to health care is reduced risk of developing cavities, tooth decay, and bone loss.
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Which intervention would the nurse implement when administering a prescribed nasal spray to the patient?
The intervention which the nurse would implement when administering a prescribed nasal spray to the patient is to have patient hold one nostril closed and breathe gently through the opposite because the spray is being administered.
Nasal spray works by shrinking the blood vessels and tissues inside the sinuses, that a cold, allergies or the respiratory disorder could cause to become swollen and inflamed. To use them properly, it's important to form sure to purpose the nasal spray toward the rear of the nose so as that you will be able to inhale the medication.
While administering nasal spray don't touch the opening with the dropper/spray bottle. Respiration through the mouth might facilitate stop aspiration of the medication.
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Venous blood is usually slightly more acidic than arterial blood. What physiological process causes the difference in pH in the arterial and venous blood? (Hint: think of how the blood is different in general!)
Answer:
Explanation:
We investigated the acid-base condition of arterial and mixed venous blood during cardiopulmonary resuscitation in 16 critically ill patients who had arterial and pulmonary arterial catheters in place at the time of cardiac arrest. During cardiopulmonary resuscitation, the arterial blood pH averaged 7.41, whereas the average mixed venous blood pH was 7.15 (P less than 0.001). The mean arterial partial pressure of carbon dioxide (PCO2) was 32 mm Hg, whereas the mixed venous PCO2 was 74 mm Hg (P less than 0.001). In a subgroup of 13 patients in whom blood gases were measured before, as well as during, cardiac arrest, arterial pH, PCO2, and bicarbonate were not significantly changed during arrest. However, mixed venous blood demonstrated striking decreases in pH (P less than 0.001) and increases in PCO2 (P less than 0.004). We conclude that mixed venous blood most accurately reflects the acid-base state during cardiopulmonary resuscitation, especially the rapid increase in PCO2. Arterial blood does not reflect the marked reduction in mixed venous (and therefore tissue) pH, and thus arterial blood gases may fail as appropriate guides for acid-base management in this em
The nurse has assessed a 6-year-old child as having respiratory distress due to swelling of the epiglottis and surrounding structures. which signs and symptoms would support this assessment?
Shortness of breath, wheezing and grunting are the common symptoms observed in a child with respiratory distress syndrome.
What is respiratory distress?Respiratory distress is a clinical condition in which the excess of fluid accumulates in the lungs. This leads to deprivation of oxygen to the various oxygen and thus leads to forceful breathing.
Respiratory distress is more commonly observed in neonates as compared to adults. It is due to the fact that surfactant is not developed well in lungs during the initial stage of life.
Oxygen therapy, use of mechanical ventilator or tracheal intubation can be carried out as a part of treatment.
The severe form of the disease is called acute respiratory distress syndrome (ARDS), it can occur at any age where the alveoli fills with fluid and thus hampering the uptake of oxygen in the body.
ARDS is incurable however it can be managed with the supportive care.
Thus, early medical intervention in respiratory distress would be helpful in the management of the disorder later.
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For individuals known to be dying by virtue of age and/or diagnosis, which sign indicates approaching death?
Answer:
increase restlessness
Explanation:
What is the term for infections contracted by patients during hospitalization? healthcare-associated chains of infections nontransmitted infections colonization
Nosocomial infection is the term for infections contracted by patients during hospitalization.
HAIs today include illnesses acquired across the continuum of places where people receive medical care, as opposed to the nosocomial infections that were previously connected with admission to an acute-care hospital (e.g., long-term care, home care, ambulatory care).They cause significant patient illnesses and deaths (morbidity and mortality), lengthen hospital stays, and call for additional diagnostic and therapeutic interventions, which add to the costs already associated with the patient's underlying disease. These unexpected infections arise during the course of medical treatment. Since certain HAIs are preventable, they are viewed as unfavorable outcomes, adverse events, and patient safety concerns. HAIs are often seen as an indicator of the standard of patient care.Adverse medication events, nosocomial infections, and surgical complications are the most common categories of adverse events affecting hospitalized patients, according to patient safety research published in 1991.Therefore, the correct answer is nosocomial infection.
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FIFO represents the proper ____ of food.
Answer:
storage
Explanation:
I think it will be right
Why has the health care provider industry traditionally been a slow adopter of it technologies compared to other industries? do you believe that will change in the coming years? why or why not?
Rapid transformation is not yet possible due to a lack of standardization in healthcare.
Why is a change in the healthcare sector is slow?Rapid transformation is not yet possible due to a lack of standardization in healthcare.
A universal solution for the clinical facets of healthcare is essentially unachievable due to its wide variety.
Numerous disjointed sub-systems are involved in even the simplest interaction, such as when a patient sees a doctor or receives therapy.
The biggest problem with the quality and dependability of the health information available on social media and other internet sources is misinformation or the relatively same symptoms.
Authors of medical material accessible on social media platforms are frequently unidentified or only partially identifiable.
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An older adult client is diagnosed with cancer and fears death. which nursing intervention would demonstrate caring?
The nurse should take care of the cancer patient in a very good way that the patient can feel full of comfort.
How can we help to a cancer patient which fears death?
We should to take care of the patient in a very serious manner, that the patient feels all comfort. The nurse should make such a calendar in which the patient treatment schedule is made.
The nurse should provide full comfort to the patient. The nurse should also make the plans for the cancer patient which should be in the shape of assessment, support for therapies.
Give the patient that company in which he can enjoys and express his feelings.
So we can conclude that the nurse should take care of the cancer patient in a very good way that the patient can feel full of comfort.
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The four icm scenarios help cvs strategists craft strategies that reflect the _____________ and pace of change unfolding within the healthcare industry.
The four ICM scenarios help CVS strategists craft strategies that reflect the breadth and pace of change unfolding within the healthcare industry.
The Integrated Care Management (ICM) model is a person-centered, evidence-based healthcare delivery model that gives. Care coordination and support across suppliers, settings, and time.
Recognized joined of the Fortune's World's Most admired corporations, CVS Health is committed to supporting diversity, inclusion, and happiness. The core values of collaboration, innovation, caring, integrity, and responsibleness of their strategists are at the center of everything we tend to do.
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A client receiving antipsychotic therapy develops an acute dystonic reaction. which medication would the nurse most likely expect the health care provider to prescribe as treatment?
Benztropine will be provided for treatment.
Although medications that cause movement abnormalities may be treated with diphenhydramine, amantadine, or propranolol, the acute reaction would probably be treated with an anticholinergic drug like benztropine. Acetylcholine is inhibited by anticholinergic medications, which returns the neurotransmitter system to equilibrium.Neuroleptics, another name for the class of psychotropic drugs known as antipsychotics, are generally used to treat psychosis, particularly in schizophrenia but also in a variety of other psychotic diseases. They are also a cornerstone of the bipolar disorder treatment, along with mood stabilizers.Benztropine is a member of the class of drugs known as anticholinergics, which function by obstructing a certain natural chemical (acetylcholine).A drug called benztropine, often referred to as benztropine in the US and Japan, is used to treat movement disorders such parkinsonism and dystonia.Therefore, the correct answer is benztropine.
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A client is being discharged following pelvic surgery. what would be included in the patient care instructions to prevent the development of a pulmonary embolus?
Lower-extremity muscles should be tensed and relaxed must be included in the patient care instructions to prevent the development of a pulmonary embolus.
Pelvic surgery can refer to uro-gynecologic procedures carried out for female pelvic floor diseases, even if any procedure affecting the pelvic floor, pelvic bones, or pelvic organs may be categorized as pelvic surgery in this article. Urinary incontinence and pelvic organ prolapse are examples of these conditions.An abnormal condition known as pelvic organ prolapse occurs when a pelvic organ—such as the uterus, bladder, or rectum—falls from its usual position. Contrarily, urinary incontinence is the inability to control one's urge to urinate, which causes unintentional urination. Both diseases are brought on by the pelvic muscles becoming weak, which is typically attributed to stretching after childbirth. It may also be connected to gynecological procedures like hysterectomy. Other illnesses and conditions may also predispose besides these.Therefore, lower muscles must be tensed and relaxed.
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When teaching a client about restrictions for tranylcypromine, the nurse will tell the client to avoid which food?
The nurse will advise the client to stay away from fava beans while discussing the limits for tranylcypromine with them.
Which foods ought to be avoided when taking tranylcypromine?Avoid foods like sausage, pepperoni, salami, anchovies, and herring that have been smoked, pickled, or prepared with poultry or fish. Bananas, avocados, raspberries, raisins, and overly ripe fruit should not be consumed. Put an end to your alcohol consumption.
Tranylcypromine: What is it?There are some types of depression that are treated with tranylcypromine. It is a member of the class of drugs known as monoamine oxidase inhibitors (MAOI). The way this medication functions is by preventing the nervous system's monoamine oxidase (MAO) from doing its job.
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The provider prescribes meperidine 25 mg im now for a clients pain. available meperidine 100 mg/ml. how much meperidine will the nurse administer?
The provider prescribes meperidine 25 mg IM now for a clients pain. The available meperidine is 100 mg/ml, then the nurse should administer 0.25 ml of the medication.
Meperidine is the drug used as a pain reliever. It is an opioid. It is only used during severe pain. It belongs to the family of narcotic analgesics. The target of action of the drug is the Central Nervous System. There are certain side-effects of this drug. These are: Nausea, vomiting, constipation, sweating, etc.
According to the question, available meperidine = 100 mg/ml.
This means 1 ml of the drug contains 100 mg of meperidine.
Hence to administer 25 mg of meperidine, only 0.25 ml of the drug should be administered.
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please help!!! please please
The slow, positive increase in voltage across the cell membrane that takes place between two subsequent action potentials is known as the pacemaker potential.
The pacemaker potential drives the self-generated rhythmic firing (automaticity) of pacemaker cells, and the rate of change (i.e., the slope) of the pacemaker potential determines the timing of the two subsequent action potentials.
The cell membrane, which typically maintains a resting membrane potential of -70 mV, is what causes the cell to reach the threshold potential and subsequently fire the next action potential. The net flux results from the intermittent contributions of multiple currents that flow with various voltage and time dependences.
The pacemaker potential is the primary determinant of heart rate in a healthy sinoatrial node. It can be seen in the pacemaking cells of the heart, such as the sinoatrial node.
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Answer:
When I ask a person what their life is, I answer: my life is an odd number less than 100, a multiple of 13 and divisible by 3. The life of the person is: a.
Describe your observations of a possible correlation between the radius length and height
Observations:
While width describes how wide an object is, length describes how long something is.In geometry, length refers to the rectangle's longest side and width to its shortest side.A period of time or a measurement of distance can also be referred to as length.The meter is the most often used unit for length measurements.On the finished graph, two trend lines should be drawn. To show the anticipated 0.18 (18%) ratio of radius length to measured height, draw a single line. The original hypothetical data is represented here.
To become familiar with the metric measurement system and scientific procedures. An individual's length is roughly 40% of their height. Create a second best-fit line. displaying linear regression by plotting the distribution of data points for each student. Draw the proper slopes for both lines on the graph using rise over run methods.
Get the radius length of each of the ten students in the class using a metric tape measure. Place the meter stick's one end in the antecubital region of the arm, elbow bent, for each measurement. Enter the radius length in cm into the data table after inserting the opposite end of the meter stick into the bend of the carpal region. Utilizing adhesive tape, secure tape measures vertically to a wall. Find out each student's height and enter it in cm in the data table.
Examine the information gathered from the two measurements taken of each pupil. The following equation is used to determine the anticipated relationship between radius length and height:
Height x 0.18 equals the anticipated radius length.
The following factors define the actual correlation to be applied to the hypothesis test:
Height/Radial Length = Actual Percent of Height
Keep track of each sample student's height and radius measurements. Calculate each student's expected and actual height percentages for the sample using a calculator. To complete a graph, calculate the average of the expected and actual percentages of height for each student in the sample.
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When assessing an older adult, the nurse anticipates an increase in which component of respiratory status?
The correct option is (C) Residual lung volume.
When assessing an older adult, the nurse anticipates an increase in residual lung volume.
What do you mean by residual volume in lungs?The amount of air still in the lungs following a maximally powerful expiration is known as residual volume (RV). To put it another way, it is the volume of air that the lungs cannot permanently expel, leaving the alveoli open.
For breathing to occur and for healthy lung function, residual lung volume is required. Additionally crucial for minimizing significant variations in respiratory gases oxygen and carbon dioxide is the air that stays in the lungs.
Two opposing elements compete to define residual volume.
• Residual volume tends to be reduced by the force of the expiratory muscles and the pull of the lungs inward.
• The draw of the chest wall in an outward direction tends to raise the residual volume.
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The complete question is:
“When assessing an older adult, the nurse anticipates an increase in which component of respiratory status?
A) Vital capacity
B) Gas exchange and diffusing capacity
C) Residual lung volume
D) Cough efficiency”
The nurse is giving a bedside report to another nurse taking over the clients. what should the nurse do when giving a report in this manner?
The nurse should give all the essential information, medical history, allergies of the patients, and the medicines which are given to the patient to another nurse.
Who is nurse Nurse:A nurse is a very important person who takes care of the patients in the absence of a doctor. When a nurse is giving information to another nurse following things should be taken care of:
No other person is listening to that informationAll the information should be accurate and proper.It should be given briefly.All the medicines of the patientsAllergy of the patientMedical history of the patient.The information of the patients is very confidential so it should be taken care that no other person is listening to that information. It should be given properly any mistake may harm the life of the patient.
During the report, the nurse should also give the CBC, HGPT, HGOT, and other reports information.
Therefore, The nurse should give all the essential information, medical history, allergies of the patients, and the medicines which are given to the patient to another nurse.
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What fruits should I eat more of?.
Answer:
Some of the healthiest fruits include pineapple, apples, blueberries, and mangos. You should eat three servings of fruit a day as part of a healthy diet. Eating fruit improves heart health, reduces inflammation, and boosts your immune system
Explanation:
A patient reports a recent onset of pain in the calf when climbing stairs. the pain is relieved when the patient sits and rests for about two minutes. which condition would the nurse suspect?
Option A) Intermittent claudication is the condition that is suspected by the nurse during this circumstance of pain in the calf.
What is the source of intermittent claudication?Decreased arterial blood flow to an extremity while performing an activity is the source of intermittent claudication, which feels like a cramp. It might be brought on by atherosclerosis, arterial spasm, or limb-related artery blockage.
Resting for a few minutes usually helps symptoms, and the cause will determine the exact course of treatment.
In light of the patient’s presenting complaints, muscle cramping, venous insufficiency, and aching muscles from overuse are all wrong diagnoses.
What contributes to intermittent claudication?Peripheral artery disease can be said as the main cause of intermittent claudication (PAD). Atherosclerosis, which means a condition where a wax-like substance called plaque is deposited on the inside of your arteries, causes that condition. There is less room for blood to flow as that accumulation worsens.
What signs of claudication are there?Walking causes discomfort, a burning sensation, or a tiredness in the legs and buttocks.
Shiny, hairless, blotchy, and susceptible to blisters foot skin.
When raised (elevated), the leg is pale; when dropped, it is crimson.
Chilly feet
Male impotence.
Leg ache while in bed at night.
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Complete Question
A patient reports a recent onset of pain in the calf when climbing stairs. The pain is relieved when the patient sits and rests for about 2 minutes. The patient is then able to resume activities. The nurse suspects what condition?
A. Intermittent claudication
B. Muscle cramping
C. Venous insufficiency
D. Sore muscles from overexertion
how to read if someone can still grow from left hand X ray?
A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. the nurse understands that this injury involves which structure?
The nurse understands that the musculoskeletal injury involves the tendons.
Tendons are fibrous connective tissues that attach muscles to bones. They help the bones to move. Tendons cannot be torn but can be strained when stretched to a long extent. Tendons may be damaged due to their overuse, any injury, aging, or health conditions like arthritis.
Tendons work as levers to help move your bones when you contract or expand your muscles. They have greater strength than your muscles. Tendons in the foot can hold more than 8 times your body's weight.
There are two types of tendon junction in the body: musculotendinous junction and osteotendinous junction. The former is the site where the tendons attach to a muscle and the latter is the site where the tendon attaches to a bone. A point to be noted is that the musculotendinous junctions are more prone to injuries.
When a client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse would immediately find that the injury is in the musculotendinous junction of a tendon.
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What should cms do to ensure that all patients that need a face-to-face encounter receive one?
CMS refers to Centre for Medicare and Medical Services and it is a part of U.S Department of Human and Health Services, the main objective is that the patients receive face-to-face encounter.
what is Centre for Medicare and Medical Services?The Centers for Medicare & Medicaid Services (CMS), is a federal services within the United States Department of Health and Human Services that administers the Medicare program.
It works in partnership with state governments like Medicaid, the Children's Health Insurance Program (CHIP), and other health insurance portability standards.
CMS has different types of responsibilities like administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and it is a long-term care facilities.
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A client has a 10-year history of being treated for hypertension. where should the nurse document this information?
The nurse must document this information in medical history.
What is medical history?It is a specific medical document for each patient.It is the set of medical information of a patient.The medical history is the individual document where all information related to health and medical care is stored.
Medical history is very important to know how a patient was treated and what diseases he or she has. In this way, medical history optimizes treatment, and allows the medical team to have greater knowledge of the patient, and thus know how to refer him to the best treatments.
For this to be effective, the medical record must update the patient's medical history whenever necessary, without omitting any information.
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In the icd-10-cm alphabetic index next to hypertension, what do the terms in parentheses indicate?
The terms in parentheses represents the presence or absence of supplemental words with the diagnostic of hypertension has no bearing on the code to which it is assigned.
What is hypertension?
Elevated blood pressure is known as hypertension, or high blood pressure. Your blood pressure varies throughout the day based on your activity. If blood pressure measurements are frequently higher than normal, high blood pressure may be diagnosed (or hypertension).
Both the Alphabetic Index and the Tabular List employ parentheses to encapsulate supplemental words that may be included or omitted from the description of an illness or procedure without changing the code number to which it is assigned. Nonessential modifiers are the words in parenthesis.
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According to the nursing process which order of steps would the nurse take in caring for a client who reports chest pain?
A nurse is caring for a client with hypoparathyroidism. which imbalance is a major concern for the client?
Hypoparathyroidism is caused due to imbalance of Parathyroid hormone.
What is Hormone?A class of chemical messengers known as hormones are delivered from distant organs in multicellular animals to control physiology and behavior. The proper development of fungi, plants, and animals depends on hormones. Numerous different types of molecules can be categorized as hormones owing to the broad definition of a hormone. Eicosanoids, protein, or peptide derivatives are some of the compounds that can be regarded as hormones.
Organs and tissues communicate with one another using hormones. Hormones control a number of physiological and behavioral functions in vertebrates, including digestion, metabolism, respiration, sensory perception, sleep, excretion, breastfeeding, stress induction, growth and development, locomotion, reproduction, and mood alteration.
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A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. which substance is the antidote for heparin overdose?
Option C) In case of overdose of intravenous heparin where patient is showing signs of bleeding, Protamine sulfate is the antidote.
A particular heparin antagonist, proton sulfate, binds to heparin to reverse its anticoagulant effects entirely. Any kind of Warfarin (Coumadin) overdose can be treated with vitamin K.
What treatment can be suggested for heparin overdose if none of the other choices work?Protamine has been selected as the solely approved antidote to heparins, notwithstanding its low therapeutic index.
Is vitamin K an antidote for heparin?The toxicology of any protamine depends on a complex interaction between the cationic peptide with a high molecular weight and the surfaces of blood cells.
If a person who is taking warfarin or heparin bleeds, needs surgery, they are typically treated with specific antidotes like protamine or vitamin K, respectively at first.
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Complete Question
A patient has received an overdose of intravenous heparin and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
a. vitamin E
b. vitamin K
c. protamine sulfate
d. potassium chloride