IMG-1981.jpg - MEDICATION Heparin REVIEW MODULE CHAPTER CATEGORY CLASS Anti coagulant PURPOSE OF MEDICATION Expected Pharmacological Action Therapeutic


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Unformatted text preview: MEDICATION Heparin REVIEW MODULE CHAPTER. CATEGORY CLASS Anti coagulant PURPOSE OF MEDICATION Expected Pharmacological Action Therapeutic Use prevents conversion of fibrinogen and prot- prevents of DVT, DE, MI, open heart surgery hrombin to thrombin by enhancing inhibitory effects of antithrombin III (ATI, p. 191) A-FIB, anticoagulant in dialysis and transfusion procedures, treatment of DIC. GTI, P. 1 91) Complications Medication Administration Hemorrhage, thrombocytopenia, anemia, heparin induced IV infusion TCP (ATI , P. 191) IV Bolus cannot be used interchangeably ( unit For unity with LMWHs or heparinoids. SUBCUT abdomen bit pelvic bones, rotate sites. Avoid all I'm injections that may Contraindications/Precautions cause hematoma (AT1, p. 192 ) Bleeding, hypersensitivity contraindications children/elderly, diabetes, renal disease, severe HTN, Nursing Interventions pregnancy, lactation (ATI, p. 192 ) - precautions platelet count 92-3 days, Bleeding, hemorrhage; gums, petechiae, black tarry stool, decrease in hernay tocrit, check periodically for Interactions signs of decreasing clots NSAIDS, aspirin, and other anticoagulants ble they # PTT, occult blood in can increase the risk of bleeding ( ATI, P. 192 ) Stool ( ATI, p. 192 ) Client Education use soft bristle toothbrush, use electric razor, Avoid contact sports. Avoid IM Evaluation of Medication Effectiveness inj. carry emergency ID identifying product taken . Prevention of DVT and pulmonary emboli Report bleeding to provide; gums under adequate coagulation based on a PTT (ATI, .193) Skin, urine, and stools avoid OTC posROPE preparations unless directed by provider. Notify all HCP of heparin use (ATI , P . 192 ) "TIVE I FARNING TEMPLATES THERAPEUTIC PROVEMIRE AX...
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