S.P. has been on aspirin therapy but now will be taking ...

[shofmannx20]

S.P. has been on aspirin therapy but now will be taking clopidogrel instead.
 
  What is the most important aspect of patient teaching that you will emphasize with this drug?

Question 2

S.P. tells you his neighbor told him to keep his legs elevated higher than his heart and asks for compression stockings to keep swelling down in his legs.
 
  How should you respond?

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Answer to Question 1

The risk for bleeding He should be taught to report any unusual bleeding from anywhere in the
body, such as nosebleeds and dark, tarry stools. If bleeding occurs from a cut, he will need to apply
direct pressure to the site for 3 to 5 minutes or longer. He should wear a medical alert bracelet or
necklace, or carry an identification card that specifies that he is on this medication. He needs to
notify his dentist or other health care providers that he is on this medication before a procedure is
scheduled.

Answer to Question 2

 Elevating the legs and using compression stockings are common treatments for venous problems
in the lower extremities. S.P. does not have those problems; he has arterial problems, and wearing
compression stockings or socks with tight banding could further impair his circulation.
 His legs should be kept in a slightly dependent position to allow gravity to help with circulation.