Anticoagulants aka Clot Blockers
Client is receiving a continuous heparin infusion and their aPTT is significantly above the therapeutic range and they are exhibiting bleeding gums, what is the first step the nurse should take?
Stop the Heparin Infusion
A client is prescribed aspirin once daily. What therapeutic effect should the nurse anticipate?
Decreased platelet aggregation or clumping
A client receives alteplase after developing an acute clot. What is mechanism of action for this medication?
Break down existing clots
What clotting factor are patients diagnosed with hemophilia A deficent in?
Factor 8
What is the reversal agent for Warfarin?
Vitamin K
Antiplatelets are strictly contraindicated if a patient has a history of...
Active GI Ulcers or Hemorrhagic Stroke
What is the primary adverse effect of vorapaxar?
What is a priority adverse effect the nurse should monitor for in a patient on thrombolytics?
monitor for bleeding
What nutrition education would you provide to a client prescribed a vitamin k supplement for bleeding control?
Daily, consistent intake of vitamin k rich foods
What is the reversal agent for IV Heparin?
Protamine sulfate
Client taking warfarin reports black, tarry stools, what action should the nurse take?
5-7 days
Intracranial hemorrhage
Client diagnosed with hemophilia A is prescribed factor VIII repalcement. What is the primary purpose of this medication?
Replaces deficient clotting factor VIII
Client taking dabigatran develops life threatening bleeding, what reversal agent should the nurse anticipate?
Idarucizumab
A client has recently been prescribed an antiplatelet medication to stabilze platelet production. What supplements, called "The 3 Gs" should the client avoid due to increased risk of bleeding?
Ginko Biloba, Ginseng, Garlic
Apixaban and Rivaroxaban inhibit which clotting factor?
Factor Xa, blocking intrinsic and extrinsic pathways
What two medications in this category are classifed as antifibrinolytics?
Tranexamic Acid and Aminocaproic Acid
Phytonadione is another name for...?
Vitamin K1
Which drug doubles as a vasodilator to treat intermittent muscle pain/cramping in PAD (peripheral artery disease)?
Cilostazol
To reduce platelet activation and aggregation (clumping together)
Client is prescribed tranexamic acid for excessive bleeding. What action explains why this medication helps control bleeding?
To reverse severe bleeding from a Factor Xa inhibitor i.e. Eliquis, the nurse anticipates an order for which drug?
Adexanet Alfa