Coagulation Modifers (Final)

Question 1

Coagulation Therpay Goals

Answer 1

-Prevent clot formation

-Break apart existing clot

-Help increase circulation and perfusion

-Decrease pain

-Prevent further tissue damage

Question 2

Biggest Concern

Answer 2

BLEEDING

-All anti-coagulants most common side effect

-Can be internal or external

-Know why your patient is on an anti-coauglant and know what sites they may be at risk for bleeding

-Hemoglobin and hematocrit levels

-Vital signs (Fluid volume deficit) (Tachy is first sign)

Question 3

Anticoagulants

Answer 3

-Inhibit the action or formation of the clotting factor

-PREVENT clots from forming or from growing bigger

-Does not break one up

Question 4

Antiplatelet

Answer 4

-Prevent platelet plugs from forming by inhibiting platelet aggregation

-Best for preventing heart attacks and stroke

-Stop platelets from sticking together

Question 5

Anticoagulants and Antiplatelets are both considered

Answer 5

Antithrombins because they inhibt formation of platelets

Question 6

Heparin Induced Thrombocytopenia (HIT)

Answer 6

-Low platelet count and increased development of thombi -> caused by antibody development

-Monitor platelet count and stop heparin immediately if platelet count <100,000

-Non-heparin anticoagulants can be used as substitute if anticoagulation still needed

Question 7

Labs associated with Heparin

Answer 7

-Dose IV heparin based on clotting time labs

-Anti-Xa or aPTT (activated partial thomboplastin time)

-Drawn every 6 hours and draw a baseline before starting heparin

Question 8

KNOW INR