NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

clopidogrel Plavix antiplatelet agents 75 mg tab PO Q day

Peak Onset Duration Normal dosage range

3-7 days within 24 5 days 75mg once daily
hr

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Reduce risk of stroke N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Inhibits platelet aggregation by irreversibly
inhibiting the binding of ATP to platelet
receptors
Contraindications/warnings/interactions
Hypersensitivity, pathologic bleeding (peptic ulcer, intracranial
hemorrhage), patients at risk for bleeding (trauma, surgery, or
other pathologic conditions), history of GI bleeding/ulcer disease
Common side effects
No common side effects
Potential life threatening side effects: GI BLEEDING,
BLEEDING, NEUTROPENIA, THROMBOTIC
THROMBOCYTPENIC PURPURA

Interactions with other patient drugs, OTC
or herbal medicines (ask patient specifically)
Lovenox (may increase the risk of bleeding)
Nursing Process- Assessment
(Pre-administration assessment)
History and physical, assess risk for blood
clots
Lab value alterations caused by medicine
Monitor bleeding time during therapy. Prolonged bleeding time,
which is time- and dose-dependent, is expected
Monitor CBC with differential and platelet count periodically
during therapy. Neutropenia and thrombocytopenia may rarely
occur. May cause ↑ serum bilirubin, hepatic enzymes, total
cholesterol, nonprotein nitrogen (NPN), and uric acid
concentrations.
Be sure to teach the patient the following about this
medication
Avoid taking OTC medications containing aspirin or NSAIDs
without consulting health care professional.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Successful prevention of
Fever, chills, sore throat, or unusual stroke
bleeding or bruising occurs