Hemostatic Agents Flashcards
1
Q
Medications
A
Systemic:
-Aminocaproic acid
Topical:
- Absorbable gelatin
- Thrombin
2
Q
Action
A
- Systemic: prevents systemic clot breakdown to prevent blood loss
- Topical: for surface injuries involve so much damage to the small vessels in the area that clotting does not occur and blood is slowly and continually lost
3
Q
Contraindications
A
- Systemic: allergy, acute DIC, lactation
- Topical: allergy to bovine products
4
Q
Caution
A
- Systemic: Cardiac disease, renal or hepatic dysfunction, pregnancy
- Topical: safety not established in children
5
Q
Drug-Drug interactions
A
- Systemic: heparin, oral contraceptives, or estrogen
- Topical: none reported
6
Q
Assessment
A
- History: check for contraindications or cautions
- Physical: skin, heart and lung sounds, CNS, perfusion, abdominal assessment, VS
- Labs: clotting studies, urinalysis, renal and hepatic fx
7
Q
Nursing diagnoses
A
- Disturbed sensory perception
- Acute pain
- Risk of injury
- Deficient knowledge
8
Q
Implementation
A
- Monitor clinical response and clotting factor levels regularly
- Monitor the pt for any sign on thrombosis
- Orient the pt and offer support and safety measures
- Provide comfort measures
- Provide pt teaching
9
Q
Evaluation
A
- Evaluate response to drug
- Evaluate effectiveness of teaching plan
- Evaluate effectiveness of comfort and safety measures
- Evaluate compliance with the regimen
