Hematology

Beschreibung

Nursing Karteikarten am Hematology, erstellt von Yean Ji Jung am 12/04/2020.
Yean Ji Jung
Karteikarten von Yean Ji Jung, aktualisiert more than 1 year ago
Yean Ji Jung
Erstellt von Yean Ji Jung vor mehr als 4 Jahre
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Zusammenfassung der Ressource

Frage Antworten
Factor Xa/ Thrombin Inhibitors Heparin Enoxaparin sodium (Lovenox)
Mechanism of Action Inactivates factor Xa and thrombin. Blocks clotting process
Side effects bleeding epistaxis bleeding gums thrombocytopenia Melena
Nursing actions Monitor for bleeds Fall risk Avoid NSAIDs Protamine is antidote for heparin
Vitamin K antagonists Warfarin (Coumadin)
Mechanism of action blocks Vitamin K to prolong clotting time
Side effects Bleeding Toxicity Orthostatic hypotension
Nursing actions Teratogenic Monitor PT/INR Avoid NSAIDs Consistent diet of Vit K Monitor for bleeds No alcohol
Adenosine Phosphate Receptor Inhibitorrs Clopidogrel bisulfate (Plavix)
Mechanism of action Inhibits platelet aggregation
Side effects Bleeding GI bleeds Thrombocytopenia
Nursing actions Monitor for GI bleeds teratogenic Check platelets periodically
Thrombolytics tPA (Altaplase)
Mechanism of action Dissolves clots
Side effects bleeding dysthythmias
Nursing actions Monitor aPTT, PT, INR, CBC Used in ICU- have to be eligible Avoid unnecessary injections
Factor Xa Inhibitors Apixaban (Eliquis)
Mechanism of action Inhibits platelet aggregation
Side effects Bleeding but low bleeding risk
Nursing actions No lab draws needed Monitor renal function Monitor for bleeds
Mineral supplement Ferrous sulfate
Mechanism of action provides iron for hemoglobin to function
Side effects Constipation Tarry stool Stained teeth Nausea
Nursing actions Take with vitamin C to increase absorption Give on empty stomach Give 2 hrs before other meds Give with straw Continue to take even if feeling better
Vitamin supplement Vitamin b12
Mechanism of action Facilitates protein synthesis and carb metabolism
Side effects Hypokalemia Erythema
Nursing actions Monitor F&E balace Encourage high Vit B12 diet Have periodic lab draws done
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