NUR 2571 Discussion Patient Teaching: Anticoagulants              

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NUR 2571 Discussion Patient Teaching: Anticoagulants              

NUR 2571 Discussion Patient Teaching: Anticoagulants              


Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.

Develop 3 teaching points important for Sandra to know about her medications regimen.

What questions would you ask Sandra to verify that she understand the 3 teaching points?

Anticoagulants are medicines that prevent the blood from clotting as quickly or as effectively as normal. Some people call anticoagulants blood thinners. However, the blood is not actually made any thinner – it just does not clot so easily whilst you take an anticoagulant.

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Anticoagulants are used to treat and prevent blood clots that may occur in your blood vessels. Blood clots can block blood vessels (an artery or a vein). A blocked artery stops blood and oxygen from getting to a part of your body (for example, to a part of the heart, brain or lungs). The tissue supplied by a blocked artery becomes damaged or dies, and this results in serious problems such as a stroke or heart attack. A blood clot in a large vein, such as a clot in a leg vein – a deep vein thrombosis (DVT), can lead to serious problems. For example, it can lead to a clot that travels from a leg vein to the lungs (a pulmonary embolism). Anticoagulants are used to prevent blood clots as well – the most common condition for this is atrial fibrillation (AF).

Any person who has a head injury while taking any anticoagulant medicine should go straight to hospital for a CT scan, which should be performed within eight hours of the injury, even if there are no other concerns.

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