Plavix

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Clopidogrel Plavix Peak Onset 3-7 days Within 24 hrs

Classification Dose Route Time/frequency Antiplatelet agents 75 mg PO Q day Duration Normal dosage range 5 days 75 mg once daily following discontinuation Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions She has history of a stroke n/a Mechanism of action and indications (Why med ordered) Inhibits platelet aggregation indicated for reduction of atherosclerotic events such as a stroke.

Nursing Implications (what to focus on) Contraindications/warnings/interactions .increased risk for bleeding

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) none

Lab value alterations caused by medicine May cause increased serum bilirubin

Nursing Process- Assessment (Pre-administration assessment) monitor for bleeding or excessive bruising

Common side effects Purpura, bleeding

Be sure to teach the patient the following about this medication Notify health care provider if fever chills, sore throat, or if unusual bruising or bleeding occur. There is increased bleeding risk if used with anise, arnica, chamomile, clove, fenugreek, feverfew, garlic, ginger, ginko, panax ginseng Assessment Evaluation Why would you hold or not give this Check after giving med? Monitor bleeding time, and Signs of bleeding cbc for neutropenia and thrombocytopenia. Watch for bleeding.