University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2020
Views:

345

Pages:

1
Author:

Hallie Randolph

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ heparin MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ anticoagulants CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Potentiates the inhibitory effect of antithrombin on factor Xa and thrombin. Therapeutic Use Prevention of thrombus formation. Prevention of extension of existing thrombi (full dose) Complications BLEEDING, HEPARIN-INDUCED THROMBOCYTOPENIA (HIT) (WITH OR WITHOUT THROMBOSIS), anemia. Medication Administration IV (Adults): At least 150 units/kg (300 units/kg if procedure 6 0 min; 400 units/kg if 60 min). Contraindications/Precautions Hypersensitivity; Uncontrolled bleeding; Severe thrombocytopenia; Open wounds (full dose); Avoid use of products containing benzyl alcohol in premature infants. Interactions Risk of bleeding may be increased by concurrent use of drugs that affect platelet function, including aspirin, NSAIDs, clopidogrel, dipyridamole,some penicillins, ticlopidine, abciximab, eptifibitide, tirofiban, and dextran Nursing Interventions Assess for signs of bleeding and hemorrhage (bleeding gums; nosebleed; unusual bruising; black, tarry stools; hematuria; fall in hematocrit or BP guaiac-positive stools). Notify health care professional if these occur. Client Education Evaluation of Medication Effectiveness Prolonged partial thromboplastin time (PTT) of 1.5– 2.5 times the control, without signs of hemorrhage. Patency of IV catheters. ACTIVE LEARNING TEMPLATES Advise patient to report any symptoms of unusual bleeding or bruising to health care professional immediately. THERAPEUTIC PROCEDURE A7