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抑制)+dabigatran(IIa抑制)。Warfarin替代·不需routine INR·固定劑量·飲食影響少。腎功能·藥物交互·reversal困難為差異重點。
Andexanet alfa — Andexxa。重組無活性factor Xa decoy。Apixaban·rivaroxaban·edoxaban主要出血reversal。High/low dose protocol(劑量·timing決定)。昂貴·有再栓塞風險·需monitor。無時改用4F-PCC。