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what are the nursing implications in a patient who is receiving anti - platelet and anticoagulants

what are the nursing implications in a patient who is receiving anti - platelet and anticoagulants
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Ans) Anticoagulants - eg. Coumadin

Nursing Implications:
- monitor PT & INR
- ANTIDOTE IS VITAMIN K
- hold pressure on all puncture sites to minimize bleeding & bruising
- requires 3-5 days to be therapeutic
- give daily at 1700

Patient Teaching:

- consistent intake of Vit K (yellow & dark green vegies)
- do not take OTC meds containing aspirin or NSAIDs
- frequent lab tests to monitor coagulation factors
- carry ID stating you are on anticoagulation Tx
- inform personnel about Tx before lab tests, treatment, or surgery
- usually used for home anticoagulation management

Antiplatelet :

Nursing Implications
- PO - give with food
- prolongs bleeding time for 4-7 days
- Sx OF TOXICITY: tinnitus, headache, hyperventilation, agitation, mental confusion, lethargy, diarrhea, & sweating
- don't give ASA to kids <12yr.

Antiplatelet:

Patient Teaching
- report tinnitus to MD
- take with food to decrease GI upset
- chest pain not relieved with nitro, chew one ASA & call EMS

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