ati-heparin-ati

ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7 Medication STUDENT NAME _____________________________________ MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS ______________________________________________________________________ ACTIVE LEARNING TEMPLATE: PURPOSE OF MEDICATION Expected Pharmacological Action Complications Contraindications/Precautions Interactions Medication Administration Evaluation of Medication Effectiveness Therapeutic Use Nursing Interventions Client Education Rachel Garcia Heparin- When and how to administer heparin? 25 in ATI Anticoagulant prevents conversion of fibrinogen and prothrombin to thrombin by enhancing inhibitory effects of antithrombin III (ATI, p. 191) IV infusion IV bolus cannot be used interchangeably (unit for unit) with LMWHs or heparinoids. SUBCUT abdomen between pelvic bones, rotate sites. avoid all IM injections that may cause hematoma (ATI, p. 192) NSAIDS, aspirin, and other anticoagulants because they can increase the risk of bleeding (ATI, p. 192) contraindications: bleeding, hypersensitivity precautions: children/elderly, diabetes, renal disease, severe HTN, pregnancy, lactation (ATI, p. 192) Hemorrhage, thrombocytopenia, anemia, herperin induced TCP (ATI, p. 191) prevention of DVT, PE, MI, open heart surgery, A-FIB, anticoagulant in dialysis and transfusion procedures, treatment of DIC. (ATI, p. 191) platelet count q2-3 days. bleeding, hemorrhage; gums, petechiae, black tarry stools, decrease in hematocrit, check periodically for sign of decreasing clots. PTT, occult blood in stools. (ATI, p. 192) prevention of DVT and pulmonary emboli adequate coagulation based on aPTT (ATI, p. 193) use soft bristle toothbrush, use electric razor. avoid contact sports. avoid IM inj, carry emergency ID identifying product taken. Report bleeding to provider;gums, under skin, urine, and stools avoid OTC preparations unless directed by provider. notify all HCP of heparin use. (ATI, p. 192) Downloaded by Anamaria Arguelles (anamariaarguelles29@gmail.com) lOMoARcPSD|26706469