University:
University of North Carolina at Chapel Hill
Course:
NURS 312 | Pharmacology
Academic year:

2022
Views:

174

Pages:

1
Author:

Hallie Randolph

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Heparin MEDICATION __________________________________________________________________________ Anticoagulant CATEGORY CLASS ______________________________________________________________________ 25 REVIEW MODULE CHAPTER ___________ PURPOSE OF MEDICATION Expected Pharmacological Action prevents conversion of fibrinogen and prothrombin to thrombin by enhancing inhibitory effects of antithrombin Therapeutic Use prevention of DVT, PE, MI, open heart surgery, A-FIB, anticoagulant in dialysis and transfusion procedures, treatment of DIC Complications Hemorrhage, thrombocytopenia, anemia, herperin induced TCP Medication Administration IV infusion IV bolus cannot be used interchangeably (unit for unit) with LMWHs or heparinoids. SUBCUT abdomen between pelvic bones, rotate sites Contraindications/Precautions contraindications: bleeding, hypersensitivity precautions: children/elderly, diabetes, renal disease, severe HTN, pregnancy, lactation Interactions NSAIDS, aspirin, and other anticoagulants because they can increase the risk of bleeding Nursing Interventions platelet count q2-3 days. bleeding, hemorrhage; gums, petechiae, black tarry stools, decrease in hematocrit, check periodically for sign of decreasing clots. PTT, occult blood in stools Client Education Evaluation of Medication Effectiveness prevention of DVT and pulmonary emboli adequate coagulation based on aPTT ACTIVE LEARNING TEMPLATES use soft bristle toothbrush, use electric razor. avoid contact sports. avoid IM inj, carry emergency ID identifying product taken. Report bleeding to provider;gums, under skin, urine, and stools avoid OTC preparations unless directed by provider. notify all HCP of heparin use