What are the nursing considerations for apixaban?
Nursing considerations
- Educate patients about signs and symptoms of bleeding and bleeding precautions.
- Instruct patients not to double up on dosing in an attempt to make up a missed dose.
- Stress to patients the importance of informing healthcare providers that they’re taking apixaban due to increased bleeding risk.
What should I avoid when taking apixaban?
There are no foods or drinks you need to avoid while taking apixaban. Will I need to stop apixaban before surgery? Because of the risk of bleeding, your dose of apixaban may need to be lowered or stopped a few days before you have an operation.
Does Eliquis affect INR?
Apixaban is associated with a notable increase in INR in hospitalized patients, although it is not clear the clinical impact of the increase.
What clotting factor does Eliquis affect?
Eliquis works by blocking factor Xa, which produces thrombin. Thrombin helps clot production. By blocking factor Xa, Eliquis decreases the production of blood clots. Eliquis is a novel oral anticoagulant (NOAC), which is a group of newer blood thinners, also known as direct oral anticoagulants (DOAC).
What are some nursing implications?
Nursing implications are the nursing-related consequences of something (a disease, a medication, a procedure). ie. not the medical side effects, but the things which may occur which are up to the nurse to resolve. To work out what they are, you need to understand about the disease, medication or procedure.
What do anticoagulation nurses do?
The advanced practice nurse acts at both a system level and a patient care level to improve anticoagulation with low-molecular-weight heparins, heparin, and warfarin through education, research, quality improvement initiatives, and patient care management.
What are the most common side effects of Eliquis?
Common Eliquis side effects include:
- Bleeding from cuts that take longer to stop.
- Bleeding from nose or gums.
- Dizziness.
- Easy bruising.
- Excessively heavy menstrual bleeding.
- Minor bleeding.
- Nausea.
What are the risks of apixaban during pregnancy?
Apixaban therapy may increase the risk of hemorrhage during pregnancy and obstetric delivery. Treatment may also increase the risk of bleeding in the fetus or neonate. Data on the use of apixaban is limited and insufficient to determine risks of major birth defects, miscarriage, or adverse developmental outcomes.
What is apixaban used to treat?
USES: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. With atrial fibrillation, part of the heart does not beat the way it should.
Does aspirin increase the bleeding risk of apixaban?
In the ARISTOTLE trial (comparative trial of apixaban and warfarin in patients with nonvalvular atrial fibrillation), concomitant use of aspirin increased the bleeding risk of apixaban from 1.8%/year to 3.4%/year.
Does apixaban affect INR levels?
Apixaban affects INR, so measurements during coadministration with warfarin may not determine appropriate warfarin dose If continuous anticoagulation is necessary, discontinue apixaban and begin both a parenteral anticoagulant and warfarin at the time the next dose of apixaban would have been taken