One minute nurse: anticoagulant vs Antiplatelet vs Thrombolytic

anticoagulants: medications purpose

-heparin= monitored by the aPPT -enoxaparin -warfarin= monitored by INR (2-3) and PT levels -thin the blood to prevent blood clots/ its growth

Thrombolytics medication purpose contradictions

-alteplase -clot busters -used for ischemic stroke, myocardial infarction, pulmonary embolism -pregnancy, gi bleed, hypertension

antiplatelets medication purpose

-aspirin and clopidogrel -prevent platelets/create clots ; increase bleeding

Which factor is an absolute contraindication to receiving a thrombolytic?

Contraindications for thrombolytics include pregnancy, recent gastrointestinal bleed, hemorrhagic stroke, a known bleeding disorder, recent major surgery or trauma, history of intracranial vessel malformation, and uncontrolled hypertension. Ischemic stroke, appendectomy in the past, and controlled hypertension are not contraindications for thrombolytic administration.

Which intervention should be implemented for patients on any medications that increase the risk of bleeding?

For patients on medications that increase the risk for bleeding, the patient should be alert for signs of bleeding, which may include bleeding gums, bruising, dark stools. Other interventions include maintaining fall precautions, avoiding IM injections, and using electric razors.