Term
Aspirin and Plavix
Indications for Use and type |
|
Definition
Antiplatlet
Treatment post MI
Treatment post stroke
Intermittent claudication
Peripheral arterial disease (PAD) |
|
|
Term
| Aspirin and Plavix Adverse effects |
|
Definition
| Bleeding, headache, dizziness, weakness, nausea, GI distress, skin rash, petechiae, tinnitus, hearing loss, blood dyscrasias |
|
|
Term
Aspirin and Plavix
Nursing considerations |
|
Definition
Monitor vital signs (s\s of bleeding)
Monitor labs
If approrpiate take with food to decrease GI upset
Monitor for hearing loss
Monitor intake\output
If appropriate monitor dosing times
Keep antidotes for Heparin and Coumadin available
Medication administration for IV and subcutaneous routes
Patient education (safety, drug\drug and drug\food interactions) |
|
|
Term
Heparin Lovenox Coumadin
Uses and type |
|
Definition
Anticoagulant
Treatment of MI
Unstable angina
Orthopedic surgery
Atrial fibrillation
deep vein thrombosis
mechanical heart valves |
|
|
Term
Heparin Lovenox Coumadin
Adverse Effects |
|
Definition
| Bleeding, nausea, GI distress, Hair loss (alopecia), Dermatitis, Bone marrow suppression, injection site reactions, Hepatic dysfunction |
|
|
Term
Heparin Lovenox Coumadin
Nursing considerations |
|
Definition
Monitor vital signs (s\s of bleeding)
Monitor labs
If appropriate take with food to decrease GI upset
Monitor for hearing loss
Monitor intake\output
If appropriate monitor dosing times
Keep antidotes for heparin and coumadin available
Medication administration for IV and subcutaneous routes
Patient education (safety, drug\drug and drug\food interactions) |
|
|
Term
Aspirin and Plavix
Assessment |
|
Definition
Allergies, preg or lac, bleeding disorders, recent surgery, or closed head injury
Assess baseline statues
-temp, skin, color, lesions, and temperature, orientation, and reflexes, pulse, blood pressure, and perfusion; respirations, and adventitious sounds, complete blood count, and clotting studies |
|
|
Term
Heparin Lovenox Coumadin
Assessment |
|
Definition
Allergies, hemorrhagic disorders, recent trauma, spinal puncture, GI ulces, recent surgery, intrauterine device placement, tuberculosis, presence of indwelling catheters, and threateneed abortion, Preg and lac.
Assess baseline.
-temp, skin, lesions, orientation, reflexes, pulse, blood pressure, and perfusion, repiration and adventitious sounds, clotting studies, renal and hepatic function tests, complete blood count, and stool guaic, and electrocardiogram if appropriate. |
|
|
Term
|
Definition
| Protamine sulfate. It immediately reverses heparin's anticoagulant effects. |
|
|
Term
|
Definition
Injectable Vitamin k
It promotes liver synthesis and several clotting factors |
|
|
Term
|
Definition
Safety not well established
Warfarin (Coumadin) undergoing cardiac
surgery |
|
|
Term
|
Definition
|
|
Term
|
Definition
More likely for drug interactions
Risk for toxicity |
|
|
Term
|
Definition
| Ingestion of large quantities of foods high in vitamin K content (see list in Appendix M) may antagonize the anticoagulant effect of warfarin. |
|
|
Term
|
Definition
| Risk of excessive bleeding increases if any of these drugs is combined with another drug that affects blood clotting. |
|
|
Term
|
Definition
| Increased bleeding if heparin is combined with oral anticoagulants, alicylates, penicillins, or cephalosporins. Decreased anticoagulation can occur if heparin is combined with nitroglycerin. |
|
|
Term
|
Definition
| Vitamin K and E decreases anticoagulation effect |
|
|
Term
|
Definition
| Tells if Heparin Coumadin are at a therapeutic level |
|
|
Term
|
Definition
| Correlated with therapeutic effect. If the IRN is 2-3 then you want to increase vitamin K in order to counteract the anticoagulant effect so the patient doesn't start bleeding |
|
|
Term
|
Definition
| If Heparin is at a therapeutic level. |
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|
