Assignments, Chapter 48, Drugs Affecting Blood Coagulation
Written Assignments
Learning Objective(s)
1. Discuss the process of blood coagulation and clotting. What
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is the mechanism by which blood clots dissolve? Describe
how antiplatelet agents, anticoagulants, low-molecular-weight
heparins, thrombolytic agents, antihemophilic agents, and
hemostatic agents affect blood clotting.
2. Develop a table outlining the differences in nursing care for 3 patients in the following age groups: an 8-year-old, a 47-yearold, and a 76-year-old, all of whom are receiving
anticoagulant therapy. What are the primary nursing
considerations for using an anticoagulant in each of these age
groups? What is the rationale for each nursing consideration?
Be specific for each age group.
3. You are an emergency room nurse. A 72-year-old patient is 5 admitted with a coronary artery thrombosis, and urokinase is
given IV. What are the most essential nursing considerations
for this patient? Include the rationale for all nursing
considerations.
4. Many adults and older adults use aspirin daily for 5 antiplatelet benefits. What nursing considerations are
essentials when working with these patients? What teaching
points are important for patients on antiplatelet therapy?
Group Assignments
1. Construct a table that summarizes the therapeutic actions, Learning Objective(s)
2 indications, pharmacokinetics, contraindications, the most
common adverse reactions, and the important drug–drug
interactions for antiplatelet agents, anticoagulants, lowmolecular-weight heparins, thrombolytic agents,
antihemophilic agents, and hemostatic agents.
2. Each member of the group takes one of the prototype drugs 4 aspirin, heparin, urokinase, antihemophilic factor, and
aminocaproic acid. Discuss the similarities and differences
among drugs in the same classifications and across
classifications.
Clinical Assignments
1. Select a patient in the clinical setting who is prescribed Learning Objective(s)
2 anticoagulant therapy. Why is the patient taking this
medication? Describe the therapeutic actions, indications,
pharmacokinetics, contraindications, the most common
adverse reactions, and the important drug–drug interactions
for the drug.
2. Select a patient in the clinical setting who has a prescribed 4 medication that affects blood clotting. Compare and contrast
the prescribed medication with the prototype medication for
the classification of the patient’s medication. If the patient is
on the prototype medication, compare the prototype with
another medication in the same classification.
Web Assignment
1. Conduct an Internet search to identify the most frequently
used drugs that affect blood coagulation. What, if any, are the
differences in medication choices for children, adults, and the
elderly? Learning Objective
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• 1505198457-ASN_Chapter_48 elijah.doc