University:
Towson University
Course:
NURS 332 | Professional Nursing I: Introduction To Nursing
Academic year:

2022
Views:

140

Pages:

1
Author:

grosikesf4

ACTIVE LEARNING TEMPLATE: Medication Heparin Sodium MEDICATION REVIEW MODULE CHAPTER Lippincott Advisor Anticoagulants CATEGORY CLASS PURPOSE OF MEDICATION Expected Pharmacological Action Accelerates formation of antithrombin III-thrombin complex deactivates thrombin, preventing conversion of fibrinogen to fibrin. Therapeutic Use Anticoagulant Complications Fever, hemorrhage, heparin induced thrombocytopenia, hyperkalemia, osteoporosis, chills, anaphylactoid reactions. Medication Administration 80 units/kg bolus Then 18 units/kg per hour IV Contraindications/Precautions Contraindicated in pts with an uncontrolled bleeding site. May reduce bone mineral density with prolonged use. Use cautiously in pts at risk for hemorrhage. Interactions Drug-drug - Antiplatelet drugs, salicylates: May increase anticoagulant effect. Use together cautiously. Monitor coagulation studies and patient closely. Oral anticoagulants: May increase additive anticoagulation. Monitor PT, INR, and PTT. Avoid combination. Nursing Interventions Monitor pts for hypokalemia. Check order and vial carefully. Draw blood for aPTT 4to6 hrs after subcut dose. Measure PTT and platelet count regualrly. Inspect for bleeding gums, bruises, nosebleeds, melena and hematuria. Monitor Vital Signs Client Education Evaluation of Medication Effectiveness aPTT is within 1.5-2.5 times the control No signs of hemorrhage. Report all drug and food allergies. Report all adverse reactions. Avoid OTC drugs containing aspirin and other salicylates. Report S&S of bleeding