A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart. The patient has a past history of aortic valve replacement 2 years ago and is on warfarin. She also...

1 answer below »
A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart. The patient has a past history of aortic valve replacement 2 years ago and is on warfarin. She also has arthritis and will require an arthroscopy later this week. She is due to start Clexane today to replace the warfarin pre-op. You note that she has been given ibuprofen and aspirin overnight for pain as nurse-initiated medication. You think that NSAID’s and Aspirin are contraindicated for patients on warfarin. How will you manage this situation? Your colleague will be going home after handover. (500 words)
Answered Same DayMay 01, 2021NURS2155

Answer To: A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart....

Anju Lata answered on May 03 2021
151 Votes
Running Head: Case Study
Case Study

Assessment
Student Name:
Non Steroidal Anti Inflammatory drugs like aspirin and ibuprofen interact with the warfarin and may cause serious complications of bleeding. The patient in the case study is given aspirin and ibuprofen overnight for controlling pain, by the nurse. I will have to monitor the patient for any Blood pressure elevation, dyspepsia. He has a history of aortic valve replacement two years back, so he may be at risk of cardiovascular unrest. The vital signs will be closely monitored for the patient. I will check the time of administration of these two drugs to the patient. If there is a gap of 2 hours between the administration of aspirin and NSAID, it may have no serious harm for the patient.
The reversible transient inhibition of platelet aggregation due to NSAID may block the irreversible inhibition of aspirin, enabling the formation of potential clot. The ibuprofen and aspirin taken together may...
SOLUTION.PDF

Answer To This Question Is Available To Download

Related Questions & Answers

More Questions »

Submit New Assignment

Copy and Paste Your Assignment Here