Direct thrombin inhibitors (DTIs)
Direct thrombin inhibitors (DTIs) ( 5 Questions)
A nurse is reviewing the medication history of a client who is prescribed argatroban for HIT. Which of the following statements by the client indicates a need for further teaching?
Choice A is wrong because avoiding alcohol while taking argatroban is a correct statement. Alcohol can also increase the risk of bleeding and should be avoided or limited by the client.
This statement by the client indicates a need for further teaching because aspirin can increase the risk of bleeding when taken with argatroban, which is an anticoagulant drug used to treat or prevent thrombosis in patients with heparin-induced thrombocytopenia (HIT) . The client should avoid taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) unless prescribed by their health care provider.
Choice C is wrong because notifying the dentist that the client is taking argatroban is a correct statement. The client should inform their dentist and other health care providers about their medication history before any invasive procedures, as they may need to adjust or stop their argatroban dose to prevent excessive bleeding.
Choice D is wrong because checking the blood pressure regularly at home is a correct statement. The client should monitor their blood pressure and other signs of bleeding, such as bruising, nosebleeds, blood in urine or stool, or prolonged bleeding from cuts or wounds. The client should also report any symptoms of thrombosis, such as chest pain, shortness of breath, leg pain or swelling, or stroke-like symptoms.
This statement by the client indicates a need for further teaching because aspirin can increase the risk of bleeding when taken with argatroban, which is an anticoagulant drug used to treat or prevent thrombosis in patients with heparin-induced thrombocytopenia (HIT) . The client should avoid taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) unless prescribed by their health care provider.
Choice A is wrong because avoiding alcohol while taking argatroban is a correct statement.
Alcohol can also increase the risk of bleeding and should be avoided or limited by the client.
Choice C is wrong because notifying the dentist that the client is taking argatroban is a correct statement.
The client should inform their dentist and other health care providers about their medication history before any invasive procedures, as they may need to adjust or stop their argatroban dose to prevent excessive bleeding.
Choice D is wrong because checking the blood pressure regularly at home is a correct statement.
The client should monitor their blood pressure and other signs of bleeding, such as bruising, nosebleeds, blood in urine or stool, or prolonged bleeding from cuts or wounds.
The client should also report any symptoms of thrombosis, such as chest pain, shortness of breath, leg pain or swelling, or stroke-like symptoms.