factor XA inhibitors= new synthetic version of anticogulants Flashcards
what is a major advantage of FONDAPARINUX?
NO RISK FOR HIT
MAJOR disadvantage?
can cause epidural bleeds
what patient would I not give Fondaparinux?
- severe backpain
- paralysis
- decreased loc
call HCP and hold the medication
NCLEX key terms for FONDAPARINUX?
- ) NO FONDAPARINUX FOR AT LEAST 6 HOURS AFTER SURGERY
2. ) NO ANTICOAGUALNTS WHILE A SPINAL EPIDURAL CATHETER IS IN PLACE. due to the huge risk for an epidural bleed.
new oral anticoagulant’s for atrial fibrillation patients end in?
XABAN like:
- RIVAROXABAN
- EDOXABAN
- APIXABAN
they have a lower risk for bleeding compared to warfarin
what should be avoided while on RIVORAXABAN?
ASPIRIN ANY AND ALL medications that increase bleeding like: NSAIDS EGGO -vitamin e -garlic -ginseng -gingko -omega 3 vitamins
RIVORAXABAN:
has a lower risk for bleeding compared to warfarin
there is NO NEED FOR ROUTINE CLOTTING STUDIES
DO NOT NEED TO AVOID VITAMIN K such as liver or spinach and broccoli
what is a risk of taking RIVORAXABAN?
Risk for neurological impairment
what do we teach for RIVORAXABAN?
we teach client methods to reduce bleeding.
DABIGATRAN
ARGOTROBAN
used to reduce clots in high risk atrial fibrillation patients.
DABIGATRAN key points”
DO NOT STOP TAKING THE MEDICATION FOR GI ISSUES since it is a side effect. take the medication even if the stomach hurts
stop medication if BLACK TARRY STOOLS occurs
DO NOT STORE IN A PILL BOX= ALWAYS KEEP IT IN THE ORIGINAL CONTAINER.
DO NOT CRUSH KEEP IT WHOLE
What should be hold when on DABIGATRAN?
HOLD BEFORE SURGERY
HOLD CLOPIDOGREL OR ASPIRIN
Patient on dabigatran do not take?
clopidogrel or aspirin
what medication is hold before surgery?
DABIGATRAN
