Treatment With Anticoagulants Flashcards
Nursing consideration that applies to all anticoagulants.
Bleeding risk
anticoagulant medications are ___________than others to cause harm due to __________ dosing, __________ monitoring, and inconsistent patient or resident compliance.
more likely; complex; insufficient
Signs and symptoms of bleeding –
o Bruising & Petechiae
o Bleeding gums
o Blood in urine
o Signs of GI Bleed
o Tachycardia
o Hypotension
Coagulation Lab Values specific to the drug in use.
Closer monitoring needed with the elderly and for those with renal impairment.
Check for use of over-the- counter medications, vitamins, and herbal prod
Anticoagulants: monitor
Follow institutional policy for
administration of high-alert medications.
Educate staff based on evidence and best practices.
Use standardized order sets and protocols.
Perform medication reconciliation at all transitions.
Anticoagulants: Do
- Provide thorough patient and caregiver education for patients prescribed anticoagulants at home. Include risks involved and the precautions needed (use soft toothbrush and electric razor, seek medical attention after falling).
- Instruct re: s/s bleeding and to contact provider.
- Alert dentist or other providers re: anticoagulant therapy before any dental work or invasive procedures.
Anticoagulants: teach
Blood in the urine
Hematuria
Heparin is given _______ for preventative and given _______ for acute.
SubQ; IV
______ is the antidote for warfarin.
Vitamin K
______ has interactions with most medications because it is _______.
Warfarin (Coumadin); highly protein bound
Lab values for warfarin requires close monitoring of _______ ranges. Therapeutic levels range from ___ to ___. Normal ____ is ___.
INR; 2-2.5; INR; 1
Also known as Lovenox. Short term, only used for 7-10 days.
Low molecular weight heparin
