TRANEXAMIC ACID

Question 1

BRAND NAME

Answer 1

Cyklokapron

Question 2

DRUG CLASS

Answer 2

Antifibrinolytics

Question 3

THERAPEUTIC ACTIONS

Answer 3

Inhibits activation of plasminogen, thereby preventing the conversion of plasminogen to plasmin.

Question 4

INDICATIONS

Answer 4

Prevention or reduction of hemorrhage following dental surgery in hemophiliacs.

Question 5

SIDE EFFECTS

Answer 5

CNS: dizziness. EENT: visual abnormalities. CV: hypotension, thromboembolism, thrombosis. GI: diarrhea, nausea, vomiting.

Question 6

NURSING RESPONSIBILITIES

Answer 6

Assess blood pressure and compare to normal values (See Appendix F). Report low blood pressure (hypotension), especially if patient develops dizziness or syncope.

Instruct patient to report other troublesome side effects such as severe or prolonged vision abnormalities or GI problems (nausea, vomiting, diarrhea).

Question 7

CONTRAINDICATIONS

Answer 7

Known for hypersensitivity to TXA
Known for defective color vision
Intracranial bleeding