Hemostatic Agents

Question 1

Hemostatic action/Indications

Answer 1

Systemic: prevent 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

Question 2

Hemostatic drug names?

Answer 2

Systemic:
aminocaproic acid
Topical:
absorbable gelatin
thrombin

Question 3

Hemostatic contraindications

Answer 3

Systemic: Allergy, acute DIC, lactation
Topical: allergy to bovine products

Question 4

Hemostatic drug-drug interactions (DDI)

Answer 4

Systemic: Heparin, oral contraceptives or estrogen
Topical: none reported

Question 5

Hemostatic caution

Answer 5

Systemic: cardiac disease, renal/hepatic dysfunction, pregnancy
Topical: safety in children not established

Question 6

Hemostatic adverse effects

Answer 6

Systemic: Excessive clotting
CNS: GI weakness, fatigue, malaise, and muscle pain
Topical: infection with sponges

Question 7

Hemostatic nursing implications

Answer 7

Systemic agent
good hx: watch for contraindications/cautions
Labs: clotting status, renal/hepatic tests, urinalysis
Monitor response & clotting factors
Monitor for signs of thrombosis
Orient the pt & support
Safety measures
response to drug
Repositioning frequently
trouble breathing, chest pain
Monitor for adverse effects
Monitor Compliance with Regimen