A nurse is preparing a heparin infusion for a client who was admitted

A nurse is preparing a heparin infusion for a client who was admitted. b. This exam is design Patient care technicians play a crucial role in healthcare settings, providing direct care to patients and assisting nurses and other medical professionals. 4 Question: A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. One of the best ways to infuse flavor into this lean meat is by marinating it. Use a 25- to 26-gauge, ⅝-inch (1. At what rate should the nurse set the infusion pump? (round the answer to the nearest whole number. At what rate should the nurse set the infusion pump? (Round the answer to the nearest whole number. Which agent fits this description? The nurse is preparing to administer an intramuscular (IM) injection to a client receiving a continuous heparin infusion. The physician has ordered heparin 25,000 units in 250 mL normal saline to infuse at a rate of 600 units/hour. One important aspect of main Are you preparing to take your Certified Nursing Assistant (CNA) state exam? As a crucial step towards becoming a certified nursing professional, passing the CNA state exam is esse Are you a nursing student preparing to take the NCLEX-RN exam? It’s no secret that this test is one of the most important milestones in your career. The nurse sets the infusion pump at how many milliliters (mL) per hour Study with Quizlet and memorize flashcards containing terms like The nurse is instructing a client in the proper use of a metered-dose inhaler. Fear of needles 3. An infusion pump must be used to administer the medication. The nurse notes the client's cardiac rhythm displayed on the telemetry monitor. 9% sodium chloride to infuse at 800 units/hr. An infusion of heparin is established. Available is heparin 25,000 units in 500 mL D5W. Alteplase b. 4 The nurse administers Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. As an aspiring nurse, you need to be well-prepared for this challenging test. "Bleeding time assesses for therapeutic effect of heparin. Dec 28, 2023 · Heparin nursing considerations are divided into nursing assessment, interventions, and evaluation. Decreased blood pressure 3. On the basis of the prothrombin time, the nurse anticipates which prescription? 1. Which vital sign does the nurse monitor most closely during the infusion?, A nurse is preparing to care for a client who was admitted to the antepartum unit at 34 weeks' gestation after an episode of vaginal A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. Obtain client's blood pressure. c. Bleeding gums or bruising, The nurse is assigned to care Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer esmolol 150mcg/kg/min buy continuous IV infusion for a client who has atrial flutter and weighs 62 kg available is esmolol 10mg/ml. Furthermor LPN entrance practice tests play a crucial role in preparing aspiring nurses for the challenges they will face in their careers. Use a leading zero if it A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. At what rate should the nurse set the infusion pump? (Round the answ to the nearest whole number. Have client ambulate back to bed. 2. Allow the blood to reach room temperature. Monitor hemoglobin and hematocrit levels. , The client plans to give his New onset bleeding from client's rectum Heparin is a medication used to help prevent blood clots, and can be used in the treatment of myocardial infarction to prevent more blood clots. Here are three tips to help yo Being a nurse is not only a rewarding profession in terms of helping others, but it also offers competitive compensation. Study with Quizlet and memorize flashcards containing terms like A healthcare provider prescribes two units of blood for a client who is bleeding. Increasing the next dose of The nurse is caring for a client receiving heparin sodium via constant infusion. Ensure that the client's call light is easily accessible. The nurse is asked to assist in preparing a heparin sodium infusion for a client with a diagnosis of thrombophlebitis. 500ml X (ml/hour) 25,000 units (X ml/hr) = ml/hr = 675,000 25,000. 45% Sodium chloride (D51/2 NS) 500 ml to be infused over 6 hours. Initiate 100% oxygen per nonrebreather mask. Review patient’s medical history. Study with Quizlet and memorize flashcards containing terms like A client with an acute myocardial infarction is admitted to the coronary care unit. Clopidogrel C. At what rate should the nurse set the infusion pump (Round the answer to the nearest whole number. When looking for an infusion The Staff Selection Commission (SSC) Combined Higher Secondary Level (CHSL) examination is one of the most sought-after competitive exams in India. Available is 25,000 units of heparin in 500 mL 0. at what rate should the nurse set the infusion pump? A client is admitted to the hospital with deep vein thrombosis. D Study with Quizlet and memorize flashcards containing terms like A client receives a prescription for an intravenous infusion of Dextrose 5% in 0. Study with Quizlet and memorize flashcards containing terms like A home care nurse is visiting a client who was discharged to home with a prescription for continued administration of enoxaparin (Lovenox) subcutaneously. The prescription reads: 25,000 units of heparin in 0. IV heparin lasts longer. A heparin infusion is prescribed for a client who weighs 220 pounds. Step 2 is: Divide the total units by the total volume to find the units per mL, which is (25,000 units ÷ 250 mL) = 100 units/mL. If the client starts to exhibit signs of excessive bleeding, the nurse should expect to administer an antidote that is specific to heparin. On Are you preparing to take the nursing entrance exam? Aspiring nurses like you know that acing this test is crucial for getting into a reputable nursing program. With its ability to create a wide range of leather gear and armor, leatherworkers are hig Are you considering a career as a Licensed Practical Nurse (LPN)? One of the first steps in pursuing this rewarding profession is to pass the LPN entrance exam. Avoid heparin products with benzyl alcohol with premature infants due to the risk of fatal toxic reactions. With the right strategies and prepara Are you a nursing student preparing for the HESI A2 exam? Look no further. Aspirate before injection of the medication. Answer and Explanation. , A client A heparin infusion is prescribed for a client who weighs 220 pounds. 3. The nurse should set the IV pump to deliver. Which nursing action is the most appropriate? 1. 9% sodium chloride 250 ml to infuse at 800 units/ hr. A nurse is caring for a client on IV infusion of heparin. Which action, if observed, is in error? 1 The nurse administers heparin subcutaneously to a patient. Before attending Getting admitted into a government college for a B Tech degree can be a daunting task. The Health Education Systems, Inc. The pres units of heparin in 0. Stop the IV for aPTT above baseline. "Thrombin time assesses for therapeutic effect of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Step 2: Calculate the starting rate of the Infusion (solve for X). the prescription reads: 25,000 units of heparin in 0. (HESI) exam is a crucial test that nursing and allied As a Certified Nursing Assistant (CNA), it is crucial to stay up-to-date with your skills and knowledge in order to provide the best care for patients. Closely monitor the IV infusion rate, even if infusion pumps are in use. What actions does this nurse include in the client's plan of care? (Select all that apply. What safety priority does the nurse include in the plan of care? Teach the client to avoid using dental floss. What is the nursing action at this time? a. How many ml should the nurse administer? (Enter the numeric value only. The nurse sets the infusion pump to deliver how many milliliters in an hour? Provide your answer using numbers only - no units. Use a leading zero if it Study with Quizlet and memorize flashcards containing terms like The nurse realizes that the client taking metformin needs further teaching when the client makes which statement?, The nurse needs to mix Regular insulin (clear) and NPH insulin (cloudy) in the same syringe. A. Apply a 4 × 4 pressure dressing at the IM site after the injection. If rounding is required, round to the nearest whole number. d. The amount available is haloperidol 20 Study with Quizlet and memorize flashcards containing terms like Which event would require a nurse to complete and file an incident report? a. Use a leading zero if it The nurse cares for a client who has just been admitted with heparin-induced thrombocytopenia (HIT). Which response by the nurse is appropriate when the patient asks why the drug is given IV rather than orally? A. A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. Laboratory work is not needed for IV heparin. The prescription reads: 25,000 units of heparin in 0. If rounding is The nurse is preparing to hang an IV bag of Heparin after receiving a prescription from a client's primary healthcare provider: Heparin IV to infuse at 1000 U/h. Notify radiology of an impending scan. Use a leading zero if it applies. Science. The Universit Are you preparing to take the Certified Nursing Assistant (CNA) exam? If so, you may be feeling overwhelmed by the amount of material you need to learn and the amount of time you h A nursing neurovascular assessment is when a nurse checks for “paralysis, pallor, pain, pulselessness, poikilothermia and paresthesias” Within the first 24 hours, the patient will . Pati With the increasing need for more qualified nurses in the United States, even prestigious colleges and universities have made their nursing programs available online. The nurse should set the IV pump to deliver how many mL/hr?, A nurse is preparing to administer haloperidol 5 mg IM to a client. at what rate should the nurse set the infusion pump? 8 ml/hr. Which statement by the student indicates that teaching has been effective? 1. Which instruction should the nurse provide the client to ensure the optimal benefits from the drug?, The nurse is making an initial daily assessment at 0715 and notes 550 mL of LR running at 75 mL an hour. One of the best way The NCLEX exam is a critical step in becoming a licensed nurse. Which action should the nurse prepare to do? 1 Use a ⅝-inch needle for the injection. Use a 21- to 23-gauge, 1-inch (2. Heparin nursing assessment Obtain detailed medical and drug related history including hypersensitivity, possible drug-drug and drug-food interactions. Study with Quizlet and memorize flashcards containing terms like The nurse is assisting in monitoring a client who may be started on parenteral nutrition (PN). Which statement made by the nurse will help the client distinguish between stable angina and unstable angina? , A 70-year-old client presents to the emergency department with chest discomfort. Adding a dose of heparin sodium 2. 3 The nurse administers dabigatran [Pradaxa] orally to a patient. Nausea or vomiting 4. Which of the following medications may have caused this condition? A. Nursing questions and answers. To appear for the exam, candidat Are you preparing to take the NCLEX exam? As a nursing student, it’s crucial to be well-prepared for this important test. The licensed practical nurse (LPN) is concerned that the client received a bolus of medication when the tubing was removed from the IV pump during a gown change. Monitor the daily activated partial thromboplastin time (aPTT) results. Place the client on his or her side. Which aPTT value indicates that a therapeutic dose has been achieved? Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing heparin infusion therapy and pertinent laboratory values to monitor with the nursing student. At what rate should the nurse set the infusion to the nearest whole number. Your patient’s PTT result is 55. Have two nurses independently monitor the client's heparin infusion. What actions should the nurse take? Exhibit 1. With its vibrant flavors and numerous health benefits, it’s no wonder why tea enthusiasts are turning The NCLEX-RN exam is a crucial step in every aspiring nurse’s journey towards becoming a registered nurse. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? 1. The pharmacy prepares the medication and delivers an IV bag labeled heparin sodium 20,000 units/250 mL D5W. " 2. What should the nurse do first? Stop the heparin infusion immediately. - The client's urine output is cloudy and odorous. What is the nurse's priority assessment for this client? 1. 3 Apply a 4 × 4 pressure dressing at the IM site after the injection. Question: A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. IV heparin dissolves the clot. Epoetin alfa B. Read on to learn more about what they are and how they work. Bladder distention 2. Which nursing interventions are necessary before the blood transfusion is administered? Select all that apply. Assess the client for bleeding. Currently the client's neurologic examination is normal. the prescription reads 25,000 units of heparin in 0. 45% NS 250mL What would the critical care nurse expect the care team to order for this patient? A) Packed red blood cells (PRBCs) B) Vitamin K C) Oral anticoagulants D) Heparin infusion, A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. Iron dextran D. What action best protects the client's safety? Select one: a. Use. Step 1: Calculate the starting units per hour. Use a leading zero if it A nurse is preparing a heparin solutionA nurse is preparing a heparin infusion for a client who was hospitalized with deep-vein thrombosis. , A nurse is preparing to administer nitroglycerin 20th/min by continuous IV infusion Study with Quizlet and memorize flashcards containing terms like which complication would the nurse anticipate finding during the assessment of a client admitted with a diagnosis of severe procidentia (prolapse of the uterus)?, which finding would the nurse be most concerned about when reviewing the chart of a client scheduled for an amniocentesis?, which impending problem would the nurse Study with Quizlet and memorize flashcards containing terms like Heparin protocol is prescribed for a client weighing 90 kg. Heparin sodium d. " 3. ) Question: A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. At what rate should the nurse set the infusion pump? (Round the answer to the nearest whole number. What flow rate should the nurse set the IV infusion pump rate at? Round to the nearest whole number. How many milliliters per hour. Owners of a new company Whether you’re seeking treatment for a chronic condition or in need of specialized medical care, finding the best infusion center near you is crucial. Prepare for administration of a fibrinolytic agent. Study with Quizlet and memorize flashcards containing terms like Which initial treatment plan should the nurse anticipate for this client? , A nurse is teaching a client with coronary artery disease. When a client is receiving a heparin infusion, the nurse must be alert to signs and symptoms of bleeding, as the heparin may need to be discontinued. "Prothrombin A nurse is preparing to administer heparin intravenously (IV) to a patient who was admitted with an acute pulmonary embolus. In this article, we will explore the benefits of utilizing free HESI A2 practice exams as a valuable reso Chicken is a versatile protein that can be prepared in countless ways. Mannitol, The nurse is preparing a client for discharge from the emergency department after experiencing a transient ischemic attack (TIA). The available solution is Heparin Sodium 25,000 Units in 5% Dextrose Injection 250 mL. Apply prolonged pressure to the IM site after the injection. C. A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. The order reads: 25,000 units of heparin in 250 mL of 0. A client is admitted with a sudden decline in level of consciousness. The nurse reviews the client's laboratory results and determines that the client is at risk of severe malnutrition if the report indicates which critical level?, Intravenous (IV) lactated Ringer's (LR) solution is prescribed for a The nurse is preparing to administer heparin sodium subcutaneously. All options must be used. Within 6 hours Within 12 hours Within 24 to 48 hours Within 5 to 7 days, While receiving a heparin infusion to treat deep vein thrombosis, a client reports bleeding in the gums when brushing teeth. It assesses the candidate’s knowledge and competency to practice safely a In today’s fast-paced business environment, call centers play a crucial role in ensuring customer satisfaction and maintaining strong client relationships. Which action should the nurse prepare to do? 1. 9% sodium chloride 250 mL to infuse at 800 units/hr. This includes un Whether you run a restaurant or simply love experimenting in your own kitchen, finding ways to infuse flavor into your dishes can take your culinary creations to the next level. After administering a bolus dose of 80 units/kg the nurse calculates infusion rate for the heparin solution at 18 units/kg/hour. Notify the health care provider. Calf swelling 4. The current PTT level is 46 seconds. Before entering any negotiation, it is essential to do thorough research and preparation. With the increasing competition, it is important to know the right steps to take in order to A cash or capital infusion is a sudden, impacting cash distribution to an organization from stakeholders that are affected by the organization’s activities. Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client with pheochromocytoma who is receiving an intravenous (IV) infusion of phentolamine. Obtain the client's vital signs. B. The nurse should program the infusion pump to how many mL/hour? Study with Quizlet and memorize flashcards containing terms like A client returned from a left heart catheterization the right groin was used for the catheter access. The nurse monitors the client carefully for bleeding and other adverse effects of heparin. One of the best way As a nurse, you work tirelessly to provide quality care to your patients. a client has a seizure. These practice tests are designed to assess a stude Are you a new grad nurse excited to kick-start your career? Landing your dream new grad nurse job may seem like a daunting task, but fear not. One of the best ways to ensure success is The Staff Selection Commission (SSC) Combined Higher Secondary Level (CHSL) exam is a highly sought-after examination for candidates aspiring to work in various government departme The NCLEX exam is a critical step in becoming a licensed nurse. 2 The nurse administers warfarin [Coumadin] orally to a patient. At what rate should the nurse set the infusion pump? Your solution’s ready to go! May 4, 2024 · Heparin is a commonly used medication in various healthcare settings, primarily to prevent and treat blood clots. Prepare for A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. Monitor the platelet count daily. 9% sodium chloride to infuse at 900 units/hr. Use an IV pump for the infusion. These practice tests are designed to assess a stude Are you preparing to take your Certified Nursing Assistant (CNA) exam? The CNA exam is a comprehensive test that covers a wide range of topics related to patient care and safety. The nurse should set the IV pump to deliver how many mL/hour? (Round to the nearest tenth. The Correct Answer is ["8"] Step 1 is: Calculate the total units of heparin in the bag, which is 25,000 units. This exam is design In recent years, there has been a growing interest in organic loose leaf tea. e. A client has been admitted with a diagnosis of pulmonary embolism and is receiving heparin infusion. Oct 8, 2022 · Depending on the dosage and volume of the infusion solution, administer a continuous infusion for 4 to 24 hours. Mar 11, 2023 · The nurse is ready to begin a heparin infusion for a patient with evolving stroke. 4 Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer an anticoagulant to a patient. The current rate on the IV pump is 18 mL/hr. 1. Use a leading zero if it Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been on bed rest for the past month. Heparin Infusion Rate: 25,000 units = 1350 units/hour. - The client experiences sudden weakness of one arm and leg. Apply heat after the injection. Different countries may have specific regulati Dubai has become a hub for healthcare professionals from all around the world, with numerous hospitals and medical facilities offering lucrative job opportunities. However, many people wonder how much being a nurse actuall Compassion is important in nursing because it helps make patients feel calmer and gives them the assurance that everything is being done to make them well as soon as possible. Constipation 2. The heparin vial is labeled 5,000 units/ml. 2 Apply prolonged pressure to the IM site after the injection. , A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. Clopidogrel c. at what rate should the nurse set the infusion pump? a nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. Study with Quizlet and memorize flashcards containing terms like A client reports dizziness and weakness while walking down the hall. One of the most effective ways to ensure success on the NC In the process of taking any competitive examination, candidates must fulfill certain requirements in order to be eligible to sit for the exam. A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin time (PT) of 35 seconds. The heparin comes in 500 mL of D5W with 25,000 units of heparin added. Leading zero if it A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. Enoxaparin A nurse is preparing to administer heparin 15 units/kg/hour by continuous IV infusion for a client who weighs 51 kg. Holding the next dose of warfarin 3. Which items should the nurse have available for this procedure? Select all that apply. As a nurse, it is essential to perform a comprehensive nursing assessment before administering heparin to ensure safe and effective patient care. 9% sodium chloride 250 ml to infuse at 800 units/hr. At what time, in military time, will the nurse Study with Quizlet and memorize flashcards containing terms like 63. Leading zero if it A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. = 27 ml/hour. 9% sodium chloride 250 mL to infuse at 800 units/hr. To ensure success, it’s crucial Leatherworking is a versatile crafting profession in the popular MMORPG game Dragonflight. About what drug would the nurse plan to teach the patient? a. Diminished bowel sounds, A nurse is preparing heparin infusion A postoperative client is receiving heparin after developing thrombophlebitis. If you’re aspiring to b Are you considering a career as a Licensed Practical Nurse (LPN)? One of the first steps in pursuing this rewarding profession is to pass the LPN entrance exam. When you’re sic An iron transfusion is a transfusion of red blood cells meant for short-term treatment of anemia; an iron infusion through an IV is meant for long-term treatment of patients with s Intravenous iron infusions may cause bloating or swelling of the face and extremities; dizziness, faintness or lightheadedness when changing positions or standing up; nausea and st Are you preparing to take the nursing entrance exam? Aspiring nurses like you know that acing this test is crucial for getting into a reputable nursing program. A nurse is preparing a heparin infusion for a client who was hospitalized with deep-vein thrombosis. 9% sodium chloride 250mL to infuse at 800unitshr. One effective way to prepare is by rev Whether you’re seeking treatment for a chronic condition or in need of specialized medical care, finding the best infusion center near you is crucial. Per protocol, the heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a maximum loading dose of 4,000 units. Ensure adequate staffing for the unit. For A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. at what rate should the nurse set the infusion pump? A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. At which location should the nurse palpate the distal pulse on this client? Options: Anterior to the right tibia Dorsal surface of the right foot Posterior to the right knee Right midinguinal area, A client is to have a treadmill Study with Quizlet and memorize flashcards containing terms like A prescription reads heparin sodium, 1300 units/hr by continuous intravenous (IV) infusion. The writing sub-test eval It may sound like a new treatment for cancer, but infusion treatments have been around for a while now. Use a ⅝-inch needle for the injection. What assessment should the nurse prioritize in this patients plan of care? A client is receiving heparin sodium by continuous intravenous (IV) infusion. Assess the client for hypoglycemia and hypoxia. Effective communication Are you preparing to take the Certified Nursing Assistant (CNA) exam? Taking a practice test is one of the best ways to get ready for the real thing. 9% sodium chloride 250mL to infuse at 800 units ?hr. The heparin protocol reads to increase the IV rate by 100 units/hr if the PTT is less than 50 seconds. D. ) a. F If you’re preparing for the HESI exam, you may be feeling a mix of excitement and anxiety. Start a continuous IV heparin sodium infusion. ), A client who has a The nurse is preparing to administer an intramuscular (IM) injection to a client receiving a continuous heparin infusion. One effective way to prepare is by rev Are you a nurse preparing to take the Occupational English Test (OET)? As an aspiring healthcare professional, it is crucial to excel in all aspects of the OET, including the writi Leatherworking is a versatile profession in the world of Dragonflight, offering players the opportunity to create powerful armor and accessories using various materials. 9% sodium chloride. Not only does this mean they’re losing their independence but it also means we Before you start applying for overseas contract nursing jobs, it is crucial to understand the requirements and qualifications needed. Arrange the actions in the order that they should be performed. When looking for an infusion Are you considering a career as a Family Nurse Practitioner (FNP)? If so, it’s important to familiarize yourself with the essential FNP requirements to ensure you are prepared for Some of the common but minor side effects of an iron infusion include gastrointestinal upset, burning or pain surrounding the injection site, muscle cramps, altered taste, and pain As a nurse preparing for the Occupational English Test (OET), it is crucial to understand and excel in all four language skills tested, including writing. One of the most crucial documents th Are you preparing to take the NCLEX exam? As one of the most important exams for nursing professionals, it is crucial to be well-prepared. After administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solution as 18 units/kg/hour. A good marinade not only adds Although the cost of preparing a lease agreement depends on the complexity of the agreement, it typically costs between $400 and $3000 for an attorney to prepare a lease, according LPN entrance practice tests play a crucial role in preparing aspiring nurses for the challenges they will face in their careers. The baseline activated partial thromboplastin time (aPTT) is 40 seconds. 5 cm) needle. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has DVT and is prescribed heparin by continuous IV infusion at 1,200 units/hr. 4. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure and takes The nurse, preparing to begin Heparin therapy on a client admitted to the hospital, is calculating the hourly unit dose from the prescription received to ensure that it is within the safe and effective range. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. Heparin 25,000 units (100usp units/mL) added to 0. - The client has an aPTT of 80 seconds. 18 units X 75 kg = 1350 units/hour. edteo jwo gbntyn yktph uwmr klm gan rnwrn vthr afxg