Hemostatic Agents Flashcards
Hemostatic Agents Drug Names
Systemic
Aminocaproic acid
Topical
Absorbable gelatin
Thrombin
Hemostatic Agents Therapeutic Actions
- 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
Hemostatic Agents Indications
- Prevent blood loss from injury or surgery and to treat bleeding disorder
Hemostatic Agents Contraindications and Cautions
Contraindication:
• Systemic: Allergy, acute DIC, lactation
• Topical: Allergy to bovine products
Caution:
• Systemic: Cardiac disease, renal or hepatic dysfunction, pregnancy
• Topical: safety in children not established
Hemostatic Agents DDI
DDI:
• Systemic: Heparin, oral contraceptives or estrogen
• Topical: non- reported
Hemostatic Agents Adverse Effects
Systemic: • Excessive clotting • CNS • GI • Weakness • Fatigue • Malaise • Muscle pain
Topical:
• Infection with sponge
Hemostatic Agents:
Assessment
Assess:
Hx: allergy, Pregnancy and lactation, DIC, renal or hepatic dysfunction
Physical: vital signs, weight, heart & lung sounds, skin, perfusion(pulses), (baseline)
Labs: Clotting studies, urinalysis, renal function tests, renal and hepatic function tests (PT & INR)
Hemostatic Agents:
Diagnosis
Dx:
- Disturbed sensory perception
- Acute Pina
- Risk for injury
- Deficient knowledge
Hemostatic Agents:
Implementation
Implementation:
• Monitor clinical response and clotting factors level regularly
• Monitor the patient for any signs of thrombosis
• Orient the patient and offer support and safety measures
• Provide comfort measures
• Provide thorough patient teaching
Hemostatic Agents:
Evaluation
Eval: Response to the drug Adverse effects Effectiveness of comfort measures Compliance with the regimen Effectiveness of the teaching plan
