heparin

Question 1

Generic name/

Trade name:

Answer 1

heparin/Hep-Lock

Question 2

Classification:

Answer 2

anticoagulants/antithrombotics

Question 3

Usual dosage range for route:

Answer 3

5000 units/ml SubQ q 8–12 hr

Question 4

Dosage/route/frequency ordered:

Answer 4

5000 units/ml SubQ q12 hr

Question 5

Why is this client receiving this medication?

Answer 5

-Prevention of thrombus formation.

Question 6

How does this medication work?

Answer 6

• Potentiates the inhibitory effect of antithrombin on factor Xa and thrombin.
• Prevention of thrombus formation.

Question 7

What side effects are most likely to occur secondary to this medication?

Answer 7

BLEEDING, HEPARIN-INDUCED THROMBOCYTOPENIA (HIT), anemia

Question 8

What actions do I as a nurse need to take specific to this medication?
(Including adverse reactions I need to be aware of)

Answer 8

• Assess for signs of bleeding and hemorrhage.
• Assess patient for evidence of additional or increased thrombosis.
• Observe injection sites for hematomas, or inflammation.
• Monitor platelet count every 2–3 days throughout therapy.
• Have 2nd nurse check

Question 9

What do I as a nurse need to teach the client about this medication?

Answer 9

• report any symptoms of unusual bleeding or bruising to health care provider immediately.
• not to take medications containing aspirin or NSAIDs while on heparin therapy.
• use a soft toothbrush and electric razor during heparin therapy.

Question 10

What other medications is the client taking that may interact with/alter the action of this medication?

Answer 10

coumadin - increased risk of bleeding.

digoxin - may ↓ anticoagulant effect of heparin.