Dabigatran - nursing PDF

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Summary

nursing...

Description

ACTIVE LEARNING TEMPLATE:

Medication

donohue STUDENT NAME carly _____________________________________ MEDICATION dabigatran __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

thinners CATEGORY CLASS blood ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Direct reversible inhibitor -Binds and inhibits thrombin -Works by blocking the clotting protein thrombin

Therapeutic Use Prevents blood clots helps to reduce the risk of a stroke.

Complications adominal pain, bloating, vomit/nausea, GI ulcers, gastroesophageal reflux, gastritis like symptoms, intracranial bleed, GI bleed, anaphylaxis

Medication Administration oral

Contraindications/Precautions Anticoagulant therapy, renal disease, bleeding, prostatic heart valves, surgery

Interactions glycoprotein inhibitor Ketoconazole, amiodarone, verapamil, quinidine= excessive bleeding

Nursing Interventions Nurse should monitor pt for: -Bleeding - Blood in stool & urine Lower back pain Nurse should assess for: - thrombosis, emboli, MI, swelling, redness, respiratory distress, coughing blood, cyanosis -Watch out for: postthrombotic syndrome (swelling, varicose veins, heaviness)

Client Education Evaluation of Medication Effectiveness Absence of emboli, decreased formation/extension

ACTIVE LEARNING TEMPLATES

Take at same time everyday -DO NOT crush capsule -DO NOT skip or double dose -Do not have to take with food -Neurological changes -Report to HCP if pt has any bleeding, bruising, blood in urine and stool

THERAPEUTIC PROCEDURE

A7...