Anticoagulants: Nursing Considerations Flashcards
1
Q
- Monitor: Partial thromboplastin time (PTT) and activated partial thromboplastin time (APTT) for patients receiving intravenous heparin
- Check platelets to monitor for HIT
- Calculate dose carefully
- Recognize high risk of bleeding : Discontinue and contact provider for s/s bleeding or rapid drop in platelets
- Review labs to determine if therapeutic effect noting values 1.5 – 2 times normal range for APTT and 2.5 – 3 times normal for PTT.
A
Monitor/Do: heparin
2
Q
- Teach the need for regular bloodwork, s/s excessive bleeding/bruising to report.
- administer into abdomen
A
Heparin
3
Q
- administer into abdomen
- safety is not established in children
- assess renal impairment (caution)
A
Monitor/Do: Low Molecular Weight Heparin
4
Q
Teach the s/s bleeding/bruising to report, importance of labs, inform care providers of the medication regimen, avoid ASA or other NSAIDS
A
Teach: low molecular weight heparin
5
Q
- Assess drug interactions & liver disease
- Keep Vitamin K on hand-antidote
- Assess Lab Values: Regular monitoring of INR throughout treatment or PT
- Therapeutic International Normalized Ratio (INR) ranges from 2.0 to 3.5, depending on the indication.
A
Monitor/ Do: Vitamin K inhibitor
6
Q
- S/S bleeding, Dietary restrictions – avoid alcohol, cranberries, and grapefruit juice (all increase the effect).
- Avoid excessive quantities for high Vit. K foods (i.e., green leafy veg).
- Keep appointments for regular lab work.
A
Teach: vitamin K inhibitor
7
Q
- Assess for spinal/epidural plans
- Assess hepatic function- contraindicated if moderate to severe liver disease
- Assess s/s bleeding
A
Monitor/ Do: direct oral anticoagulants
8
Q
- Administer with food, effects last 7-10 days, monitor for bleeding
- Aspirin Contraindicated for kids under 12 with flu-like symptoms
A
Monitor/ Do: Anti-platelet
9
Q
S/s of bleeding and to report; avoid alcohol; avoid NSAIDS
A
Teach: anti-platelet
