HypoCoags
This vitamin is required for the production of clotting factors II, VII, IX, and X.
What is vitamin K?
This type of medication interferes with the coagulation cascade and is commonly used to prevent or treat venous thrombosis.
What are anticoagulants?
This antiarrhythmic class blocks fast sodium channels, slowing electrical conduction and decreasing myocardial excitability.
What are Class I sodium channel blockers?
This medication is the antidote used to reverse the effects of warfarin.
What is phytonadione (vitamin K1)?
This clotting factor is deficient in a client with hemophilia A and may be administered as replacement therapy
What is factor VIII?
This antifibrinolytic medication helps control bleeding by preventing an existing fibrin clot from being broken down too quickly.
What is tranexamic acid?
Hypercoagulability, blood stasis, and endothelial injury make up this triad associated with thrombus formation.
What is Virchow’s triad?
Before administering this Class II medication, the nurse should check heart rate and blood pressure and withhold it for a heart rate below 60/min or systolic BP below 90 mm Hg.
What is propranolol?
This Class II antiarrhythmic is nonselective, blocking both beta1 and beta2 receptors.
What is propranolol?
This direct oral anticoagulant works by inhibiting factor Xa and is used to reduce thromboembolic complications in clients with arrhythmias.
What is apixaban?
A client has excessive anticoagulation caused by warfarin. The nurse anticipates administering this medication.
What is phytonadione (vitamin K1)?
This clotting factor is where the intrinsic and extrinsic pathways converge before leading to thrombin and fibrin formation.
What is factor X?
This Class IA antiarrhythmic requires continuous ECG monitoring, with particular attention to QRS duration during IV therapy.
What is procainamide?
A client taking apixaban should avoid routine use of this common class of OTC pain medications because they increase bleeding risk.
What are NSAIDs?
A client taking a beta-blocker reports feeling dizzy when getting out of bed. This teaching can help reduce the risk of injury.
What is rise slowly when changing positions?
A client with hemophilia A requires replacement of this deficient clotting factor.
What is factor VIII?
Unlike anticoagulants, this medication class decreases platelet aggregation and is especially important in arterial thrombosis.
What are antiplatelet medications?
A client receiving procainamide develops a QRS width that has increased by 50%. This is the appropriate nursing action.
What is discontinue procainamide?
This antifibrinolytic medication prevents fibrin breakdown and is most effective for trauma-related hemorrhage when administered within 3 hours.
What is tranexamic acid?
This Class IA antiarrhythmic can cause agranulocytosis, pancytopenia, and manifestations resembling systemic lupus erythematosus.
What is procainamide?
A trauma client is prescribed tranexamic acid for hemorrhage. For greatest benefit, the medication should be administered within this time after bleeding begins.
What is within 3 hours?
A client with a known DVT suddenly develops shortness of breath and chest pain. The nurse should suspect this potentially life-threatening complication.
What is a pulmonary embolism?
A client with asthma requires a beta-blocker for an arrhythmia. These beta-blockers primarily target beta1 receptors and have minimal to no beta2 effects in the lungs.
What are atenolol and esmolol?
A client receiving IV procainamide has a systolic blood pressure decrease of 18 mm Hg. This is the nurse’s appropriate action regarding the infusion.
What is pause the infusion and notify the provider?
These three cardiac effects of beta-blockers are described as negative chronotropic, negative inotropic, and negative dromotropic effects.
What are decreased heart rate, decreased contractility, and slowed electrical conduction?