A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regarding monitoring aPTT levels and preparing protamine sulfate as an antidote?
When administering Heparin, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.
DOAC class — Direct Oral Anticoagulant。apixaban·rivaroxaban·edoxaban·betrixaban(Xa阻害)+dabigatran(IIa阻害)。warfarin代替·routine INRなし·固定用量·食事影響少ない。腎機能·薬物相互作用·reversal困難等差別点。
andexanet alfa — Andexxa。組換え不活性factor Xa decoy。apixaban·rivaroxaban·edoxaban主要出血reversal。high/low dose protocol(用量·timing依存)。高価·血栓再発リスク·monitor必要。無ければ4F-PCC代替。