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Antiplatelets - Simple Nursing

Antiplatelets - Simple Nursing
Course

Nursing 12 (NRN12)

164 Documents
Students shared 164 documents in this course
Academic year: 2021/2022
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Riverside City College

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Antiplatelets

Acetylsalicylic & Clopidogrel

Notes

A C

A(Salicylic Acid)SPIRIN CLOPIDOGREL

ASPIRIN PLAVIX

They prevent the platelets from aggregating together. Sort of Spreading platelets out from each other.

Indication:

Memory Trick:

Drug name:

####### MOA:

####### ANTI PLATELETS

They LOWER platelet aggregation, so we have less chances of them sticking together.

A nti Clogging

Mainly for Clot prophylaxis

  • Heart: MI / CVA prevention
  • Narrowed arteries
  • ACS (heart)
  • TIA (brain)
  • PAD (extremities)
  • Prevention of stent/bypass re-occlusion

ACS TIA PAD

Aspirin Toxicity:

HESI KEY TERM:

Use for post - PCI

  • percutaneous coronary intervention

A C

ASPIRIN ANTI

CLOPIDOGREL CLOT

KEY Numbers

Hgb < 7 = HEAVEN Platelets: **(normal 150 – 400K)

  • Less than 150,000** NOTIFY HCP !!! - Less than 50K VERY RISKY!! *** These meds decrease plt** SHOULD NOTlevels

Platelet count of 75,000 ... or 40, PRIORITY?

  1. HOLD the DRUG
  2. Question the prescription
  3. NOTIFY the Health Care provider

COMMON QUESTION

Treatment: Activated Charcoal KEY TERM: Initial treatment of salicylate (Aspirin) toxicity

HESI & ATI Exit Exams

Tinnitus Hyperventilation Notify the HCP

KEY SIGNS of Aspirin toxicity

ATI Question

Long term aspirin
“Assess for tinnitus”

HGB < 7

150,000 - 400,

< 150,

!

< 50,

Don’t let NCLEX TRICK YOU CLOPIDOGREL

ASPIRIN IRN & PTT

PLT

IRN & PTT

Activated Charcoal

ASPIRIN

Antiplatelets

Abciximab

Notes
Glycoprotein (GP)
receptor inhibitors
Abciximab
Eptifibatide
Tirofiban

Indication:

Nursing care:

Adverse Effects:

Drug name:

Adverse Effects

Thrombocytopenia Bleeding

Mainly used after cardiac procedures like heart cath - Coronary Stent Placement to prevent reocclusion

1. Assess

HEMOGLOBIN <

PLATELETS <150,

PLATELETS <50,

!

####### KEY TERM:

REPORT TO HCP! Red tinged urine “hematuria” “Dark” tarry stools / Black or bloody stools Monitor groin (insertion site) for s/s bleeding

2. Assess for bleeding
3. Place client on
cardiac monitor

ECG changes!

4. NO needles!

(no new IV or IM)

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Antiplatelets - Simple Nursing

Course: Nursing 12 (NRN12)

164 Documents
Students shared 164 documents in this course
Was this document helpful?
Antiplatelets
Acetylsalicylic & Clopidogrel
Notes
A C
ASPIRIN
(Salicylic Acid)
CLOPIDOGREL
ASPIRIN
PLAVIX
They prevent the platelets from
aggregating together. Sort of
Spreading platelets out from each other.
Indication:
Memory Trick:
Drug name:
MOA:
ANTI PLATELETS
They LOWER platelet aggregation, so we have
less chances of them sticking together.
A C
nti logging
Mainly for Clot prophylaxis
Heart: MI / CVA prevention
Narrowed arteries
- ACS (heart)
- TIA (brain)
- PAD (extremities)
Prevention of stent/bypass re-occlusion
ACS TIA PAD
Aspirin Toxicity:
HESI KEY TERM:
Use for post - PCI
- percutaneous coronary intervention
A C
ASPIRIN
ANTI
CLOPIDOGREL
CLOT
KEY Numbers
Hgb < 7 = HEAVEN
Platelets: (normal 150 400K)
- Less than 150,000 NOTIFY HCP !!!
- Less than 50K VERY RISKY!!
* These meds SHOULD NOT
decrease plt levels
Platelet count of 75,000 or 40,000
PRIORITY?
1. HOLD the DRUG
2. Question the prescription
3. NOTIFY the Health Care provider
COMMON QUESTION
Treatment:
Activated Charcoal
KEY TERM:
Initial treatment of salicylate
(Aspirin) toxicity
HESI & ATI Exit Exams
Tinnitus
Hyperventilation
Notify the HCP
KEY SIGNS
of Aspirin toxicity
ATI Question
Long term aspirin
Assess for tinnitus
HGB < 7
150,000 - 400,000
< 150,000
!
< 50,000
Don’t let
NCLEX TRICK YOU
CLOPIDOGREL
ASPIRIN
IRN & PTT
PLT
IRN &
PTT
Activated
Charcoal
ASPIRIN