antiplatelets

Question 1

What do antiplatelet do?

Answer 1

prevention clot formation by preventing platelet aggregation. lowers platelet aggregation to have less chance of them sticking together clogging the artery.

Question 2

Plavix

Answer 2

Clopidrogrel

Question 3

Ticilid

Answer 3

Ticlopidine

Question 4

Aggrastat

Answer 4

Tirofiban

Question 5

Dipyridamole

Answer 5

Persantine

Question 6

Aggrenox

Answer 6

Dipyridamole + ASA (ACETYLSALICYLIC ACID)

Question 7

what is antiplatelets used for?

Answer 7

used for post coronary intervention (PCI) aka cath lab to clear the clot.
Also used for an MI, CVA, TIA (brain), acute coronary syndrome, PAD. Prevention after stent or bypass surgery placement. prevents occlusion of that artery.

Question 8

Aspirin

Answer 8

Salicylate acid

Question 9

common side effects:

Answer 9

bleeding
nausea
stomach pain
rash and itching 
upset stomach
diarrhea
headache

Question 10

Nursing interventions:

Answer 10

avoid if allergic to aspirin, ibuprofen, or naproxen (nsaids)

• hold 7 to 8 days before surgery (1 week).
• use caution during activities requiring alertness (such as driving a car)
• teach: monitor for signs of bleeding
• do not use any other over the counter (OTC) medication
• avoid use of aspirin, salicylates, and NSAID’s while taking these medications.
• AVOID IN PREGNANCY

Question 11

KEY NUMBERS TO ASSESS for when on anti-platelets

Answer 11

1.) hemoglobin less than 7

2.) platelets less than 150,000 risky notify HCP
less than 50,000 very risky

3.) Thrombocytopenia= lower platelet count

these medications should not decrease platelet count so question the order.

Question 12

what to do if you have a platelet count of 75,000 or 40,000 priority?

Answer 12

1. ) hold the drug
2. ) question the drug
3. ) notify HCP

Question 13

What is the #1 drug given for aspirin toxicity?

Answer 13

ACTIVATED CHARCOAL

Question 14

WHAT IS THE initial treatment for salicylate toxicity?

Answer 14

activated charcoal

Question 15

what are key signs of aspirin toxicity?

Answer 15

1. ) tinnitus= ringing of the ears

2. ) hyperventilation=notify HCP immediately

Question 16

what can indicate salicylate toxicity?

Answer 16

hyperventilation

Question 17

what is contraindicated with aspirin?

Answer 17

hypoprothrombinemia=low clotting factors

Question 18

what to assess with long term aspirin use?

Answer 18

ASSESS FOR TINNITUS “RINGING IN THE EAR”!!!

Question 19

What are glycoprotein receptor blockers? aka

IIb/IIIa receptor antagonists

Answer 19

antiplatelet such as:
ABCIXIMAB
EPTIFIBATIDE
TIROFIBAN

Question 20

What do ABCIXIMAB
EPTIFIBATIDE
TIROFIBAN do?

Answer 20

glycoprotein receptor blockers that are mainly used after cardiac procedures like heart cath or coronary stent placement. it prevent vessel reocclusion.

Question 21

what are adverse effects of abciximab or glycoprotein receptor blockers? aka
IIb/IIIa receptor antagonist

Answer 21

• thrombocytopenia=low platelet count

- bleeding

Question 22

action the nurse should implement with glycoprotein receptor blockers? aka
IIb/IIIa receptor antagonist

Answer 22

1.) assessment of hemoglobin less than 7, platelet less than 150,000 alert HCP, or less than 50,000 very risky.

2.) assess for bleeding like:
hematuria= blood in urine
dark tarry stools/black or bloody stools.

3. ) place on a cardiac monitor to look for ECG CHANGES
4. ) monitor groin insertion site for s/s of bleeding after percutaneous coronary insertion (PCI).

Question 23

what should be avoided in glycoprotein receptor blockers? aka
IIb/IIIa receptor antagonist

Answer 23

AVOID NEW NEEDLES. IM INJECTIONS, OR IV INJECTIONS=during and after administration.