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AC AP and Throm

anticoagulant antiplatelet and thrombolytic drugs

QuestionAnswer
Anticoagulants Warfarin-interferes with Vitamin K clotting factors Heparin-inhibits formation of fibrin clots
Anticoagulants Action prevent the formation of a clot by inhibiting certain clotting factors
Anticoagulants Uses DVT prophylaxis, treatment of DIC, Clotting Prevention and prevention of Thromboembolism esp. in A-Fib.
Anticoagulants Adverse Reactions Bleeding, Hematoma, Bruising and Thrombocytopenia
Anticoagulants Nursing Considerations wear med alert bracelet, monitor for bleeding and bruising, avoid unnecessary injections or injury, double check doses and alert provider prior to surgery
Anticoagulants Oral Warfain-Vitamin K Antidote
Anticoagulant Perenteral Heparin and Lovenox-Protamine Sulfate Antidote
Anticoagulant Labs CBC, PT, INR, Platelet Count
Antiplatelet Drugs Aspirin, Clopidogrel (Plavix), Cilostazol (Pletal), Dipyridamole Aggrenox), Anagrelide(Agrylin)
Antiplatelet Uses Acute Coronary Syndrome, Thrombocythemia, Recent MI or Stroke
Antiplatelet Contraindications Thrombocytopenia, Active Bleeding, Recent Stroke, GI Ulcers, Leukemia, Vitamin K deficiency
Antiplatelet Considerations Monitor CBC and platelet count, high infection and bleeding risk, take medication exactly as directed and AVOID ALCOHOL
THROMBOLYTICS Examples Alteplase (Activase) Reteplase (Retavase) and Tenecteplase(TNKase) all end in LASE
THROMBOLYTICS Uses Acute Ischemic Stroke, Acute MI, PE or DVT, Central Venous Catheter Occlusions
THROMBOLYTICS ACTION break down fibrin clots they are CLOT BUSTERS
HOW LONG IS THE WINDOW FOR ADMINITERING CLOT BUSTER AFTER STROKE 2 HOURS
WHAT IS THROWING A CLOT A RISK OR STROKE
MONA M=morphine; O=giving oxygen; N= give nitro 3 pills 5 min apart for up to 15 minutes; A=ASA(asprin)
APAP tylenol
ASA asprin
THROMBOLYTICS ADVERSE REACTIONS BLEEDING MAJOR RISK
THROMBOLYTICS NURSING CONSIDERATIONS monitor VS and EKG, assess neuro status for stroke risk, Monitor H&H, platelet, Plasminogen, Double check dosage
Created by: danpol1775
 

 



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