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NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency antiplatelet agent 75mg PO Once daily
Peak Onset 3-7 days within 24 hr Why is your patient taking this medication?
Duration 5 days after d/c
For IV meds, compatability with IV drips and/or solutions
Mechanism of action and indications Reduction of atherosclerotic events (MI, stroke, vascular death) in patients at risk for such events including recent MI, acute coronary syndrome (unstable angina/non-Q-wave MI), stroke, or peripheral vascular disease. Decreased occurrence of atherosclerotic events in patients at risk.
Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity; pathologic bleeding (peptic ulcer, intracranial hemorrhage); lactation. Use cautiously in: Patients at risk for bleeding; history of GI bleeding/ulcer disease; severe hepatic impairment; pregnancy; children. Common side effects Depression; dizziness; fatigue; headache; epistaxis; cough; dyspnea; chest pain; edema; hypertension; GI bleeding; abdominal pain; diarrhea; dyspepsia; gastritis; pruritus; purpura; rash; bleeding; neutropenia; thrombotic thrombocypenic purpura; hypercholesterolemia; arthralgia; back pain; fever; hypersensitivity reactions. Lab value alterations caused by medicine
Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) abciximab; eptifibatide; tirofiban; aspirin; NSAIDs; heparin; heparanoids; thrombolytic agents; ticlopidine; warfarin; phenytoin; tolbutamide; tamoxifen; torsemide; fluvastatin; Natural drugs: anise; arnica; chamomile; clove; fenugreek; feverfew; garlic; ginger; ginkgo; Panax ginseng.
Be sure to teach the patient the following about this medication Notify doctor if fever, chills, sore throat, or unusual bleeding and bruising occurs. Surgery; OTC medications containing aspirin or NSAIDs.
Nursing Process - Assessment (Pre-administration assessment Vital signs; symptoms of stroke, peripheral vascular disease, MI; signs of thrombotic thrombocytic purpura;
Assessment Why would you hold or not give this med? thrombocytopenia; microangiopathic; hemolytic anemia; neurologic findings; renal dysfunction; fever. Pathologic bleeding.
Evaluation Check after giving Prevention of stroke, MI, and vascular death in patients at risk