Nursing 211

N211: Health Differences Across the Lifespan I Indications Adverse Reactions

Drugs

Nursing Implications Antagonist: Vitamin K Give after or with food to decrease gastric irritation (Ticlid) Advise not to take antacids within two hours of taking Ticlid Monitor CBC every 2 weeks for 3 months and thereafter if signs of infection develop Monitor for signs of bleeding Give one hour before meals (Persantine); no regard to meals (Plavix)

Neutropenian Thrombocytopenia Agranulocytosis Leukopenia Hemorrhage GI irritation, bleeding Pancytopenia Hemorrhage GI irritation, bleeding thrombocytopenia

Short term use after cardiac procedures Reduce risk for thrombolytic stroke Prevention of thrombolytic disorders

Ticlopidine (Ticlid) Dipyridamole (Persantine) Clopidogrel (Plavix)

Low Molecular Weight Heparin (Lovenox) Monitor for signs of bleeding Given SQ Monitor CBC Use soft toothbrush Avoid cuts 1.5 Arteriosclerosis Obliterans Arteriosclerosis obliterans is a sclerosis of arterioles, thickening of the walls and occlusion. 1.6 Abdominal Aortic Aneurysm (AAA) Abdominal aortic aneurysm (AAA) is the dilation of the abdominal aorta caused by an alteration in the integrity of its wall. The most common cause of AAA is atherosclerosis. AAA is a late manifestation of syphilis. AAA is often asymptomatic. The most common symptoms are abdominal pain or low back pain, with the complaint that the client can feel his/her heart beating. Without treatment, rupture and death will occur. Prevention of thrombolytic formation

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