Pharmacology Blood Thinners #8

Question

The nurse is preparing for discharge instructions for a patient who experienced a recent myocardial infarction (MI). One of the new medications the patient will have upon discharge is clopidogrel. The nurse should develop an instructional plan which includes which information? Select all that apply.

Answers

  1. Take clopidogrel with food.
    • Rationale:

      This answer is not correct because clopidogrel may be taken with or without food. Clopidogrel, an antiplatelet, is given after myocardial infarction (MI) to help prevent platelets from sticking together and forming clots. The antiplatelet action causes this bleeding so prolonged bleeding should be reported.

  2. Report episodes of prolonged bleeding.
    • Rationale:

      This answer is correct because clopidogrel, an antiplatelet, is given after myocardial infarction (MI) to help prevent platelets from sticking together and forming clots. Patient teaching should include letting the patient know they will experience more bruising than usual, the risk of bleeding gums. and a higher risk of nosebleeds. The antiplatelet action causes this bleeding so prolonged bleeding should be reported.

  3. Clopidogrel’s action helps prevent platelets from sticking together and forming clots.
    • Rationale:

      This answer is correct because clopidogrel, an antiplatelet, is given after myocardial infarction (MI) to help prevent platelets from sticking together and forming clots. Patient teaching should include letting the patient know they will experience more bruising than usual, the risk of bleeding gums. and a higher risk of nosebleeds. The antiplatelet action causes this bleeding so prolonged bleeding should be reported.

  4. Take clopidogrel at the same time daily.
    • Rationale:

      This answer is correct because the patient should be instructed to take clopidogrel at the same time every day for consistent blood levels. Clopidogrel, an antiplatelet, is given after myocardial infarction (MI) to help prevent platelets from sticking together and forming clots, so it is important to have consistent blood levels.

  5. Limit alcohol with clopidogrel.
    • Rationale:

      This answer is correct because alcohol increases the risk of stomach bleeding. With clopidogrel, the functioning method is not affected by alcohol consumption. However, alcohol limits your kidneys ability to excrete toxins.

Overview

Clopidogrel is an antiplatelet given post myocardial infarction. The patient education should include the medication’s action, when to take the medication, and risks of bleeding.

Explanation

The correct answer is B, C, D. Copidogrel’s major side effect is bleeding and the client should understand the importance of reporting bleeding that is prolonged, blood in stools, urine. Increased bruising and bleeding gums may occur and the client should also be aware of the tendency for bruising and use soft toothbrush and institute safety awareness. The drug should be taken daily at the same time. Selection A is incorrect since the drug may be taken with or without food.

Learning Outcomes

Clopidogrel, an antiplatelet, is given after myocardial infarction (MI) to help prevent platelets from sticking together and forming clots. Patient teaching should include letting the patient know they will experience more bruising than usual, the risk of bleeding gums. and a higher risk of nosebleeds. The antiplatelet action causes this bleeding so prolonged bleeding should be reported. The patient should be instructed to take clopidogrel at the same time every day for consistent blood levels.

Test Taking Tip

When discussing bleeding risks be sure to cover from one “end” to the other “end”- discuss bleeding gums to rectal bleeding.

Video Rationale