The nurse is preparing to administer dalteparin (Fragmin) to a ...

[saliriagwu]

The nurse is preparing to administer dalteparin (Fragmin) to a patient in order to prevent DVT following a hip replacement. When providing this medication to the patient, the nurse will (Select all that apply.)
 
  a. administer intramuscularly.
  b. inject slowly.
  c. remove needle immediately after injection.
  d. rub injection site following administration.
  e. alternate injection sites every 24 hours.

Question 2

The nurse is preparing discharge education for a patient who will be receiving warfarin (Coumadin) at home. Which important point(s) will the nurse include? (Select all that apply.)
 
  a. Do not make any major changes to your diet without discussing it with your health care provider.
  b. Keep outpatient laboratory appointments for monitoring of therapy.
  c. Take the medication after meals.
  d. Report signs of bleeding to your health care provider, including observing skin for bruising; petechiae; blood in emesis, urine, or stools; bleeding gums; cold, clammy skin; faintness; or altered sensorium.
  e. Avoid aspirin products.

[ciecieme]

Answer to Question 1

ANS: B, E
Dalteparin (Fragmin) should be injected slowly. Injection sites should be alternated every 24 hours. Dalteparin is administered by deep subcutaneous injection, not intramuscularly. Needle should be left in place for 10 seconds after injection. To minimize bruising, do not rub the injection site after completion of the injection.

Answer to Question 2

ANS: A, B, D, E
Although patients on anticoagulant therapy should have knowledge about foods high in vitamin K (green, leafy vegetables), they should not make any major changes to their diet without consulting with their health care provider, pharmacist, and/or nutritionist. Patients receiving anticoagulant therapy should maintain regular appointments for assessment of the drug's therapeutic effects and follow up with the health care provider for regular review of laboratory values and dosage monitoring. Regular self-assessment for signs of bleeding is necessary for patients on anticoagulant therapy. Patients on anticoagulant therapy should avoid aspirin products. Warfarin does not have to be taken after meals.

[saliriagwu]

Gracias!

[Sarahjh]

TYSM