A Mi Car

NURS 2466 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Aminocaproic Amicar Acid Peak Onset 2 hours unknown

Classification Dose Route Time/frequency Fibrinolysis 2000 PO Q 6 hours inhibitor mg Duration Normal dosage range N/A 6 g over 24 hr after prostate surgery (not >30 g/day)

Why is your patient getting this medication To prevent hemorrhage after TURP

For IV meds, compatibility with IV drips and/or solutions N/A

Mechanism of action and indications (Why med ordered) Inhibits the action of plasminogen

Nursing Implications (what to focus on) Contraindications/warnings/interactions .Contraindicated in active intravascular clotting, interacts with clotting factors Common side effects No frequent side effects

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) No known interactions

Nursing Process- Assessment (Pre-administration assessment) Assess for bleeding

Lab value alterations caused by medicine Increased CPK, AST, and serum aldolase may indicate myopathy, May elevate serum potassium Be sure to teach the patient the following about this medication Instruct patient to notify the nurse immediately if bleeding recurs or if thromboembolic symptoms develop Assessment Evaluation Why would you hold or not give this Check after giving med? Cessation of bleeding I wouldn’t unless the doctor d/c’d the order