- 0Sep 5, '12 by SquarestateI'm a nursing student, just starting my rotation on Ortho. I'm having trouble understanding why this drug, Tranexamic Acid, is used so much on the unit. From my understanding it helps the normal clotting process, preventing excess bleeding after surgery. My question is? Wouldn't it then increase your risk for DVT? Any thoughts? How would you explain to a patient what the purpose of the medication is? My co assign nurse was having problems really finding a way to put it in laymans terms.
- 1Mar 29, '13 by caringfornursestranexamic acid does not help to form clots. It actually helps prevent clots from breaking down after surgery. Interestingly, we have been using it for a while and it seems to work. Part of the normal clotting process includes the breaking down of clots and then rebuilding. This may be too much information for your patient, but this is how I explain it:
This medication will reduce your risk of bleeding and reduce the need for a blood transfusion.
If they ask, I will explain that it works to keep the clot from breaking down and forming a new one, reducing that blood loss.
I do warn that it does cause nausea. Especially when being transported during the administration.
- 0Oct 28, '13 by akulahawkTXA is also starting to be used in trauma as well. It's an antifibrinolytic. It prevents clot breakdown vs encouraging clot formation. If there's not clot, it won't have anything to do, so it'll hang out for a while until it's eventually broken down. While this is a wikipedia entry, this gives you and idea of what and how TXA can be used. Tranexamic acid - Wikipedia, the free encyclopedia
It can be given IV, and that route is very commonly used in trauma. Apparently it's been somewhat successful in that area, so the trauma folks might be a bit excited to use it...