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Flashcards in Anticoagulants Deck (25):
1

enoxaparin trade name

lovenox

2

enoxaparin action

prevents conversion fibrinogen to fibrin, and prothrombin to thrombin by enhancing anti thrombin 3 which prevents formation blood clots. Lovenox treats/ prevents deep vein thrombosis.

binds to antithrombin 3 inactivating xa and ilia creating high ratio anti factor xa to IIa

3

enoxaparin why use

prevent DVT, PE in post op patients, angina, MI, coronary artery thrombosis

4

enoxaparin routes admin

SUBCUT, IV

5

enoxaparin doses

1mg/kg q12h

6

enoxaparin side effects

hematuria, haemorrhage, thrombocytopenia, anaphylactic reaction, bloody stools

hemmorhage, anemia, thrombocytopenia, bleeding
osteoporosis
hyperkalemia
eccymosis, hematoma

7

enoxaparin nursing considerations

blood studies, platelet count (thrombocytopenia), report bleeding
do not use if: pregnant, child, diabetes, renal disease, hemophilia

anti factor Xa activity, renal studies, bleeding, ecchymosis, black stools, petechiae. Use soft toothbrush from bleeding gums, report bleeding, not OTC products

8

enoxaparin drug classes

anticoagulant, antithrombotic
low molecular weight heparin

9

heparin trade names

hepalean, heparin leo, hep-lock

10

heparin drug class

anticoagulant, antithrombotic

11

heparin effect

prevents deep vein thrombosis by preventing clotting

12

why use heparin

prevent deep vein thrombosis
open heart surgery
clotting syndrome
atrial fibrillation with embolization
anticoagulant in transfusion & dialysis
maintain indwelling venipuncture device

13

dosage heparin

80units/ kg or 18units/kg/h

14

heparin routes of admin

SUBCUT, IV

15

adverse effects heparin

hematuria, hemorrhage, thrombocytopenia, anemia

16

heparin nursing implications

bleeding, hemorrhage, petechiae, eccymosis, black tarry stools
teach: patient to report bleeding in gums, urine, stool, skin

17

warfarin trade names

coumadin, jantoven

18

warfarin drug class

anticoagulant

19

warfarin expected effect

prevent blood clots by depressing hepatic synthesis of vitamin K

20

why use warfarin

arterial thromboembolism
MI
stroke
angina

21

route admin warfarin

PO

22

warfarin doses

2-4mg/day for 2-4 days then titrated based on prothrombin time

23

warfarin adverse effects

hepatitis, hematuria, hemorrhage, agranulocytosis, leukopenia, eosinophilia, purple toe syndrome, exfoliative dermatitis

24

warfarin black box:

monitor blood studies (occult blood, platelets)

25

warfarin nursing implications

get INR
bleeding gums, petechiae, eccymosis, black tarry stools, hematuria, hemorrhage