Hemostatic Agents

Question 1

Medications

Answer 1

Systemic:

-Aminocaproic acid

Topical:

• Absorbable gelatin
• Thrombin

Question 2

Action

Answer 2

• Systemic: prevents systemic clot breakdown to prevent blood loss
• Topical: for surface injuries involve so much damage to the small vessels in the area that clotting does not occur and blood is slowly and continually lost

Question 3

Contraindications

Answer 3

• Systemic: allergy, acute DIC, lactation

- Topical: allergy to bovine products

Question 4

Caution

Answer 4

• Systemic: Cardiac disease, renal or hepatic dysfunction, pregnancy
• Topical: safety not established in children

Question 5

Drug-Drug interactions

Answer 5

• Systemic: heparin, oral contraceptives, or estrogen

- Topical: none reported

Question 6

Assessment

Answer 6

• History: check for contraindications or cautions
• Physical: skin, heart and lung sounds, CNS, perfusion, abdominal assessment, VS
• Labs: clotting studies, urinalysis, renal and hepatic fx

Question 7

Nursing diagnoses

Answer 7

• Disturbed sensory perception
• Acute pain
• Risk of injury
• Deficient knowledge

Question 8

Implementation

Answer 8

• Monitor clinical response and clotting factor levels regularly
• Monitor the pt for any sign on thrombosis
• Orient the pt and offer support and safety measures
• Provide comfort measures
• Provide pt teaching

Question 9

Evaluation

Answer 9

• Evaluate response to drug
• Evaluate effectiveness of teaching plan
• Evaluate effectiveness of comfort and safety measures
• Evaluate compliance with the regimen