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Cheatography

SBAR: Anticoagulants Reference Cheat Sheet (DRAFT) by [deleted]

SBAR: Anticoagulants Reference Card

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Drug Category Antico­agulant

Brand Name
Generic
Coumadin; Jantoven
Warfarin
Eliquis
Apixaban
Lovenox
Enoxaparin
Pradaxa
Dabigatran Etexilate Mesylat
Xarelto
Rivaro­xaban

S - Situation

Symptoms associated with anti-c­oag­ulants:
• Bleeding (e.g., blood in urine/­sto­ol/­vom­itus, bleeding gums, vaginal bleeding, oozing from superf­icial injuries, epistaxis)
• Severe headache, head injury (i.e., resulted from fall)
• Bruising

B - Background

• Indica­tions (not limited to): deep vein thromb­osis, atrial fibril­lation, and pulmonary embolism; certain mechanical heart valves
• Other diagnoses, co-mor­bid­ities, other medica­tions, recent medication changes, recent pertinent labs
• Signif­icant drug intera­ctions: Prilosec (Omepr­azole), NSAIDS e.g., Motrin (Ibupr­ofen), anti-p­lat­elets, certain antibi­otics

A - Assessment / Appearance

• Prothr­ombin time (PT)/i­nte­rna­tional normalized ratio (INR) trend
• Change in vital signs (e.g., decreased blood pressu­re/­inc­reased pulse)
• Skin color changes
• Change in behavior or mental status
 

SBAR

R - Recomm­end­ations / Requests

Contact the resident’s physician or practi­tioner:
• Can the resident be managed in the facility?
• Are there new lab orders?
• Are there new medication orders?