PNE+174+Basic+Pharmacology+for+Nurses.Chapter_027.AR
CHAPTER 27: DRUGS USED TO TREAT THROMBOEMBOLIC DISORDERS
Source: Clayton’s Basic Pharmacology for Nurses, 20th Edition
Author: Michelle J. Willihnganz, MS, RN, CNE
LEARNING OBJECTIVES
Describe Conditions at Risk for Blood Clots:
Identify conditions that predispose individuals to the formation of blood clots.
Discuss nursing interventions used to prevent these conditions.
Identify Actions of Various Agents:
Describe the actions of:
Platelet inhibitors
Factor Xa inhibitors
Thrombin inhibitors
Fibrinolytic agents
Monitoring Procedures for Hemorrhage:
Describe specific monitoring procedures and laboratory data used to detect hemorrhage in patients on anticoagulants.
Nursing Assessments for Monitoring Response:
Describe nursing assessments necessary for monitoring therapeutic response and adverse effects from anticoagulant therapy.
THROMBOEMBOLIC DISORDERS
Definition:
Disorders involving the formation of a blood clot (thrombus) which can fragment and create an embolus circulating until trapped in a capillary.
Clotting Cascade Activation:
Activated by:
Injury to a blood vessel
Increased viscosity of blood
Pathways of Clotting:
Intrinsic Clotting Pathway
Extrinsic Clotting Pathway
NONPHARMACOLOGIC TREATMENT OF THROMBOEMBOLIC DISORDERS
Prevention of Conditions that Cause CLOTS:
Risk factors include immobility, venous stasis, certain medical conditions such as:
Surgery, trauma to lower limbs
Heart failure
Vasospasm
Various cancers (lung, prostate, stomach, pancreas)
Pregnancy and oral contraceptive use
Strategies to Prevent Stasis:
Methods:
Leg exercises
Wearing compression stockings
Leg elevation techniques
Sequential compression devices
Revascularization treatments such as:
Percutaneous coronary intervention
Coronary artery bypass grafting
DRUG THERAPY GOALS FOR THROMBOEMBOLIC DISORDERS
Primary Purpose:
Prevent platelet aggregation and inhibit steps in the clotting cascade.
Types of Agents:
Platelet Inhibitors
Anticoagulants
Glycoprotein IIB/IIIA Inhibitors
Thrombolytics
Anticoagulation Therapy:
Prevents new clot formation and extension of existing clots.
LABORATORY TESTS FOR THROMBOEMBOLIC DISORDERS
Coagulation Tests:
PT (Prothrombin Time): Monitors warfarin therapy.
APTT (Activated Partial Thromboplastin Time): Monitors heparin therapy.
INR (International Normalized Ratio): Also monitors warfarin.
Platelet Counts:
Important diagnostic indicator.
Diagnostic Tests Include:
PT, APTT, Hematocrit, Platelet Count, Doppler studies, Exercise testing, Serum triglycerides, Arteriogram, Cardiac enzyme studies.
NURSING IMPLICATIONS
Assessment Components:
Obtain patient history, current symptoms, and medications.
Perform basic assessment including:
Vital signs
Auscultation of breath sounds
Check mental status
Assess for reduced tissue perfusion signs
Collect data on any pain experienced
Verify hydration state
PATIENT EDUCATION FOR ANTICOAGULATION THERAPY
Diet and Nutrition:
Limit intake of leafy green vegetables known to affect anticoagulant activity.
Recommended fluid intake: Six to eight 8-ounce glasses per day.
Post-surgery Exercise and Activity Recommendations:
Engage in activities to prevent venous stasis.
Avoid flexing knees or placing pressure under knees and avoid prolonged immobility.
Medication Regimen Education:
Emphasize the importance of wearing a medical alert bracelet.
Inform about dosing and timing, common and serious adverse effects, and drug interactions.
Encourage reporting any signs of bleeding.
DRUG CLASS: PLATELET INHIBITORS
Includes:
Drugs:
Aspirin
Dipyridamole (Persantine)
Clopidogrel (Plavix)
Ticlopidine (Ticlid)
Actions:
Non-steroidal anti-inflammatory drug (NSAID) that inhibits platelet aggregation.
Uses:
Reduces the risk of myocardial infarction (MI) in men.
Reduces the risk of stroke in women.
Commonly used in men and women with acute MI.
Common Adverse Effects:
Abdominal distress, hypotension.
Serious Adverse Effects:
Neutropenia, agranulocytosis, bleeding.
Clopidogrel can cause Thrombotic Thrombocytopenic Purpura (TTP).
DRUG CLASS: FACTOR XA INHIBITORS
Includes:
Apixaban, Rivaroxaban, Edoxaban.
Uses:
Reduce risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation.
Betrixaban for preventing DVT and PE in acute medical illness patients at risk for thromboembolic complications.
Common Adverse Effect:
Bleeding.
DRUG CLASS: ANTICOAGULANTS
Low-Molecular-Weight Heparins Include:
Dalteparin (Fragmin), Enoxaparin (Lovenox), Fondaparinux (Arixtra).
Uses:
Prevent DVT after hip replacements or abdominal surgery; prevent MIs combined with aspirin.
Common Adverse Effects:
Hematoma formation, bleeding at injection site.
Serious Adverse Effects:
Bleeding, thrombocytopenia.
ENOXAPARIN ADMINISTRATION TECHNIQUE
Method:
Subcutaneous injection into anterolateral or posterolateral abdominal wall every 12-24 hours.
Instructions:
Do not expel the air bubble from the prefilled syringe prior to injection.
Inject the entire needle into the skin fold, inject slowly, and keep the needle in place for 10 seconds post-injection.
Do not rub the injection site, and alternate sites for injections.
DRUG CLASS: HEPARIN
Action:
In the presence of heparin, antithrombin III neutralizes thrombin and factors IXA, XA, XI, and XII; assists plasmin in digestion effectiveness.
Uses:
Treatment of DVT, pulmonary embolism, cerebral embolism.
Administration Routes:
Subcutaneously, IV push, IV infusion with varying dosages.
Monitoring Requirements:
Monitor aPTT, platelets, hematocrit.
Common Adverse Effects:
Hematoma formation, bleeding at injection site.
Serious Adverse Effects:
Bleeding, thrombocytopenia.
HEPARIN ADMINISTRATION
Safe Practices:
Confirm dosage calculations with another nurse.
Ensure dose strength is correct.
Therapeutic range for aPTT is 1.5 to 2.5 times the control.
Injection Techniques:
Administer subcutaneously into abdomen, do not massage site, alternate injection sites, use a 90-degree angle, apply gentle pressure post-injection.
Common Adverse Effects to Monitor:
Bleeding or hematoma at injection site.
Serious Adverse Effects:
Monitor for bleeding from mucous membranes, skin, urine, and stools; thrombocytopenia; internal bleeding.
DRUG CLASS: WARFARIN (COUMADIN)
Action:
Inhibits activity of vitamin K that activates certain clotting factors.
Uses:
Treatment/prophylaxis of DVT, embolization from atrial fibrillation, pulmonary embolism, and heart valve replacement.
Target INR:
INR of 2 to 3 for patients with atrial fibrillation, stroke, MI, and DVT.
INR of 2.5 to 3.5 for patients with mechanical heart valve devices.
Adverse Effects:
Bleeding—monitor skin, mucous membranes, internal bleeding, urine and stool appearance, menstrual flow, surgical dressings.
Contraindications: Pregnancy.
Antidote: Discontinue use and administer vitamin K.
Caution: Note numerous drug interactions.
COUMADIN: PREMEDICATION ASSESSMENT
Check:
Most recent PT/INR and assess for signs of bleeding.
Dietary Education:
Foods high in vitamin K, such as green leafy vegetables, should be reviewed.
Dosing Information:
Available in various dosages: 2-5 mg/day initially; 2-10 mg/day maintenance.
Importance of Compliance:
Emphasize the need to comply with regimen and need for laboratory data monitoring.
CORRECT DOSING IMPORTANCE
Key Points:
Critical for controlling clots.
Use the Medication Administration Record for scheduling.
Mark one-time dosages clearly.
Do not administer anticoagulants before checking the chart for recent laboratory results.
AUDIENCE RESPONSE QUESTIONS
Question 1:
For blood clots to form post-surgical incision, which pathway is triggered?
Options: Thrombotic, Intrinsic, Extrinsic, Embolic.
Question 2:
A patient with DVT is discharged on enoxaparin. Which statement indicates a need for further instruction?
“I’ll massage the spot I inject so the drug will absorb.”
Question 3:
Which laboratory test measures the effectiveness of heparin?
Answer: aPTT
Question 4:
Reason for the patient receiving both warfarin and heparin?
“Heparin is often used to initiate therapy; oral anticoagulants are adjusted until adequate therapeutic response is indicated.”
Question 5:
Which drug class can dissolve blood clots?
Answer: Thrombolytic agents.
DRUG CLASS: THROMBIN INHIBITOR
Drug:
Dabigatran (Pradaxa)
Action:
Direct thrombin inhibitor that prevents conversion of fibrinogen to fibrin.
Usage:
Reduces risk of stroke with nonvalvular atrial fibrillation.
Premedication Assessments:
Monitor for bleeding; check laboratory values and consider pregnancy risk.
DABIGATRAN
Safety Alert:
Capsules must be swallowed whole and are sensitive to moisture.
The bottle must be used within 30 days of opening.
Adverse Effects:
Risk of bleeding.
DRUG CLASS: GLYCOPROTEIN IIB/IIIA INHIBITORS
Drugs Include:
Abciximab (Reopro), Eptifibatide (Integrilin), Tirofiban (Aggrastat).
Action: