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What should nurses monitor in patients receiving anticoagulant therapy?

Fluid intake and output

Heart rate solely

Signs of bleeding and coagulation parameters

In patients receiving anticoagulant therapy, it is essential to monitor for signs of bleeding and coagulation parameters because these medications are designed to inhibit the clotting process, thereby increasing the risk of bleeding. Monitoring for bleeding can involve assessing for unexpected bruising, blood in urine or stool, or excessive bleeding from cuts. Additionally, coagulation parameters, such as PT (Prothrombin Time), aPTT (Activated Partial Thromboplastin Time), and INR (International Normalized Ratio), are critical to evaluate the efficacy of anticoagulation therapy and adjust dosages accordingly to maintain therapeutic levels, ensuring that the patient receives the desired anticoagulation effect without excessive risk of bleeding. This thorough monitoring helps to prevent complications associated with anticoagulant therapy, ensuring patient safety.

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