Medications: Anticoagulants Flashcards
List all anticoagulants discussed in class
Enoxaparin (Lovenox) Heparin Warfarin (Coumadin) Apixaban (Eliquis) Rivaroxaban (Xarelto)
What medication falls under the drug class Low Molecular Weight Heparin?
Enoxaparin (Lovenox)
What anticoagulants are given for prophylaxis of deep venous thrombosis (DVT)?
Enoxaparin (Lovenox)
Heparin
What medications can treat a DVT or a PE?
Enoxaparin (Lovenox) Heparin Warfarin (Coumadin) Apixaban (Eliquis) Rivaroxaban (Xarelto)
Anticoagulants increase the risk for what?
Bleeding
Internal bleeding, such as a GI bleed
Hemorrhagic stroke
Adverse effect of taking an anticoagulant?
Increased risk of bleeding
List the signs and symptoms of bleeding
Bleeding gums Petechiae Excessive bruising Blood in the urine Black tarry stools Coffee ground emesis
If there are s/s of a patient bleeding and they are on an anticoagulant, what labs should be assessed?
Platelets
Hemoglobin
Hematocrit
RBCs
What labs are monitored with Enoxaparin (Lovenox)?
No labs are monitored for effectiveness
Monitor platelets to ensure they’re in appropriate range
What labs are monitored with Heparin?
PTT
What labs are monitored with Warfarin (Coumadin)? How often must the labs be monitored?
PT and INR
Labs must be checked every 3-4 weeks
What labs are monitored with Apixaban (Eliquis) and Rivaroxaban (Xarelto)?
No labs are monitored for effectiveness
What education should be provided when a patient starts an anticoagulant?
They will bruise more easily
If they start to bleed it won’t stop as easily
Educate on s/s of bleeding
What is the antidote for Heparin?
Protamine Sulfate
What is the antidote for Warfarin (Coumadin)?
Vitamin K
