Pharmacology Anticoagulants #3

Question

Which client will most likely receive apixaban therapy?

Answers

  1. A client with atrial fibrillation for prevention of stroke or embolism
    • Rationale:

      This answer is correct because apixaban, an anticoagulant, is utilized with clients with atrial fibrillation for prevention of embolism or stroke. The medication has advantages over other previous anticoagulants since there is no need for routine blood tests. Due to this, it can be the medication of choice for clients with atrial fibrillation.

  2. A client with ventricular fibrillation following a ST elevation myocardial infarction
    • Rationale:

      This answer is not correct because ventricular fibrillation is a deadly arrhythmia and should be treated with immediate defibrillation. Apixaban is not appropriate for this situation.

  3. A client with a hemorrhagic stroke given to prevent further brain damage
    • Rationale:

      This answer is not correct because a hemorrhagic stroke should not be treated with an anticoagulant medication like apixaban since the client would completely bleed out from that bleed in the brain. Death would be imminent.

  4. A client with supraventricular tachycardia needing to be converted to sinus rhythm
    • Rationale:

      This answer is not correct because apixaban is not an antiarrhythmic medication. Adenosine is commonly given rapid infusion to attempt to convert supraventricular tachycardia.

Overview

Apixaban therapy is a newer anticoagulant therapy for clients with atrial fibrillation. It is designed to prevent stroke or embolism associated with atrial fibrillation.

Explanation

Learning Outcomes

Apixaban, an anticoagulant, is utilized with clients with atrial fibrillation for prevention of embolism or stroke. The medication has advantages over other previous anticoagulants since there is no need for routine blood tests. The client should be taught to monitor for signs and symptoms of bleeding, such as bleeding gums and blood in the stool. As with other anticoagulants, the client should expect to bruise easily and take longer to stop bleeding, even with minor scrapes.

Test Taking Tip

Slow down and read the question and the answers. There is a huge difference between atrial fibrillation and the life threatening arrhythmia, ventricular fibrillation.

Video Rationale