Anticoagulant

Question 1

Adverse reaction of heparin

Answer 1

Hemorrhage
Anaphylaxis
Bleeding
Long term: osteoporosis

Question 2

Nursing and teaching for heparin

Answer 2

Safety
Monitor 
Check for bleeding 
Weight based 
High alert

Question 3

Levenox mode of action

Answer 3

Similar to heparin but more specific to Factor ten a to thrombin

Question 4

Adverse reaction to levenox

Answer 4

Bleeding
Anaphylaxis
Thrombocytopenia

Question 5

Nursing/teaching for lovenox

Answer 5

Decrease number of clotting disorders
Check for bleeding
Careful with renal impairment
(SQ)

Question 6

MOA of Coumadin

Answer 6

Inhibits hepatic synthesis of coagulation
Factors 2,7,9,10
Decrease vitamin k

Question 7

Adverse reaction to Coumadin

Answer 7

Abnormal bleeding
Anaphylaxis
Nausea/vomiting

Question 8

Nursing/teaching Coumadin

Answer 8

Transferred to this drug after become stable
–> the 2 drugs are given @ same time for 2-3 days, it takes a while to produce effect
Check for bleeding
No excessive vitamin k
Protein bound

Question 9

Lab tests for heparin, lovenox, and Coumadin

Answer 9

Heparin: PTT, CT
LOVENOX: platelets
Coumadin: PT, INR

Question 10

Which anticoagulant works the fastest?

Answer 10

Heparin

Question 11

What is the antidote for heparin and lovenox?

Answer 11

Protamine sulfate

Question 12

What is the antidote to Coumadin ?

Answer 12

Vitamin k

Question 13

Mode of action of HEPARIN

Answer 13

Enhance actions of anti thrombin

-> loss of clotting factors