THROMBOLYTICS= clot busters

Question 1

what is the key word for thrombolytics?

Answer 1

clot busters

THEY ARE THE ONLY ONES THAT DISSOLVE CLOTS

Question 2

what are examples of thrombolytics? AND what do they end in?

Answer 2

-ase
tPA
ALTEPLASE
Reteplase
Streptokinase

Question 3

When can thrombolytics or clot busters be given?

Answer 3

3 to 4.5 hour from onset of symptoms

Question 4

what is the big caution with thrombolytics?

Answer 4

massive bleeding risk

Question 5

what should be avoided FOR THROMBOLYTICS?

Answer 5

injections 
NO IV's
NO SUBQ
NO IM
NO ABG's

Question 6

how are thrombolytics given?

Answer 6

ONLY THROUGH A COMPRESSIBLE SITE LIKE AN PERIPHERAL IV.
yes to existing peripheral IV

NO CENTRAL LINE =NEVER

Question 7

nclex key contraindications for thrombolytics?

Answer 7

AVOID giving to any patients with:

1.) ACTIVE BLEEDING
PEPTIC ULCER/DISEASE =key term

2. ) UNCONTROLLED HYPERTENSION 180/110 OR HIGHER
3. ) RECENT SURGERY WITHIN 2 WEEKS

Question 8

what should be clarified with the provider if the patient has a thrombolytics prescription?

Answer 8

1. ) PRIORITY IS PATIENT SAFETY
2. ) ACCIDENTS= RECENT TRAUMA
3. ) ANUERYSM- HISTPRY OF HEMMORAGIC CVA=BRAIN BLEED FROM A STROKE
4. ) AV MALFORMATION

Question 9

WHAT FOCUSES ON PLATELETS?

Answer 9

ASPIRIN
CLOPIDOGREL
ENOXAPARIN

less than 50,000= thrombocypenia so hold medication

Question 10

patient teaching for bleeding precautions?

Answer 10

1.) NO ACTIVE BLEED such as a PEPTIC ULCER/ DISEASE

2. ) AVOID ANY PATIENT with liver problems since the liver makes coagulation factors: CHANT
   - cirrhosis
   - hepatitis
   - Alcohol= a client just drank 6 beers
   - NSAIDS=naproxen and ibuprofen
   - Tylenol overdose that leads to Liver damage

3.) monitor for signs of bleeding and notify the HCP ASAP! 
Key words:
-black tarry stools=GI BLEEDIG
-Hematuria= blood tinged urine
-Epistaxis=nosebleed
-Petechiae on the chest  
-easy bruising 

4.) Avoid trauma
no small rugs or dim halls= well light halls

no hard brushing= use a soft tooth brush

no flossing

no alcohol based mouth wash

no razors=only electric shavers

nclex tip:
no constipation= fiber, fluids

no contact sports

ALWAYS wear a medic alert bracelet

Question 11

what supplements should be avoided completely for patient on bleeding precautions?

Answer 11

E=vitamin E 
Gingko bilboa
Garlic
Ginger
Omega 3 vitamins 
St johns wort

EGGGOS vitamins

Question 12

When do you hold the heparin and contact the HCP? SATA

Answer 12

Patient has recent diagnosis of PEPTIC ULCER

aPTT of 105

patient has black tarry stools

patient is taking gingko and vitamin E

Question 13

When do you question the order for aspirin or clopidogrel?

Answer 13

patient has 65,000 platelets

currently taking warfarin= hold because we do not mix with anticoagulation AND ANTIPLATELETS

regulars consumption of 6 glassless of wine per night= no alcohol

Question 14

a patient is on dabigatran for atrial fibrillation. which actions should the nurse initiate? SATA

Answer 14

REPORT STOOLS THAT ARE BLACK AND TARRY

TEACH THE PATIENT TO AVOID CLOPIDOGREL=antiplatelet

teach patient to stop taking this medication before surgery

Question 15

what medications have steven johnson syndrome?

Answer 15

ACE INHIBITORS

ANTICONVULSANTS