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Fondaparinux (Arixtra)
Self administration teaching
Patricia CroteauUniversity of South Florida
Behavioral Objectives
State the medical reason for which Fondaparinux is being used (cognitive).
Verbalize the possible side effects associated with the use of Fondaparinux (cognitive).
Verbalize the actions to take in the event a side effect of Fondaparinux should occur (cognitive).
Demonstrate the correct procedure used to administer a Fondaparinux injection with 100% accuracy (psychomotor).
Target Audience
Any patient that has a history of:
• deep vein thrombosis
• pulmonary embolism
Any patient that is at increased risk for developing:
• deep vein thromobis
• pulmonary embolism
* Note: Examples of patients at increased risk are any patients that have had knee replacement, hip replacement, hip surgery or abdominal surgery
Environment for Learning
Patient teaching may take place
• In a classroom
• Some facilities conduct group teaching in a classroom for patients that are having scheduled surgeries.
• Physician’s office
• Some Orthopedic surgeons have their nurses conduct teaching to their patients in the office once the patient has scheduled their surgery.
• Patient bedside
• For patients in the hospital, most of these patients had emergency surgery so there was no time before the surgery for teaching to take place.
What is Fondaparinux?
Fondaparinux (Arixtra) is a blood thinner, also known as an anticoagulant.
("Gsk source," 2011)
Why do I need Fondaparinux?
o Fondaparinux helps to prevent blood clots from forming in patients who have had surgery of the hip, knee, or the stomach area (abdominal surgery).
o Fondaparinx is also used to treat patients who have blood clots in their legs (Deep Vein Thrombosis, DVT) or blood clots that travel to their lungs (Pulmonary Embolism, PE).
("Gsk source," 2011)
DVT and PE
What are some of the side effects that might occur?
Severe bleedingAllergic reactionReaction at site of injectionsAnemia (low red blood cell count)Increased liver enzyme resultsInsomnia
("Gsk source," 2011)
What should I do if I have a side effect?
oCall your doctor o Call 911
OR
How to administer Fondaparinux
Gather all necessary supplies:
• Pre-filled medication syringe
• Alcohol wipes
• Gloves
How to administer Fondaparinux
Wash your hands
with soap & water
How to administer Fondaparinux
Choose site for injection
• The spot should be on your lower stomach area (abdomen), approx. 2 inches below your belly button. It is important to change sides (left/right) for each injection.
Cleanse site with alcohol wipe
How to administer Fondaparinux
Between your thumb and forefinger, gently pinch the skin at injection site.
Insert the needle at a 90 angle. Push syringe plunger down as far as it will go.
As you release the plunger the needle will be pulled up into the safety sleeve.
Note: to decrease chances of bruising do not rub site after injection
How to administer Fondaparinux
Properly dispose of syringe in approved sharps container
CREDITS:
PHOTOS:
Slide 1: http://medconnections.com/drugs/images/full/arixtra-4.jpg
Slide 7: http://www.effectivehealthcare.ahrq.gov/ehc/assets/Image/vteconsimage2.png
Slide 9
• Image 1: http://1.imimg.com/data/K/L/MY-1488601/doctor-on-call_10929741_250x250.jpg
• Image 2: http://www.hall-markfire.com/florida/images/aa_hillsborough_county_EMS_sm.jpg
Slide 10
• Image 1: http://medconnections.com/drugs/images/full/arixtra-4.jpg
• Image 2: Photo taken by Patricia Croteau 2012, October 11
Slide 11: Photo taken by Patricia Croteau 2012, October 11
Slide 12: http://3.bp.blogspot.com/_vWjkYJfw-iw/StPGOVc8ibI/AAAAAAAACGk/2u2MieBDdrI/s400/Male+Torso+-+Skin+textured+-+From+Jaguar+model_640x480.JPG
Slide 13: http://www.gsksource.com/gskprm/en/US/adirect/gskprm?cmd=ProductDetailPage&product_id=1244136744215&featureKey=600552#section-42230-3
Slide 14: http://www.lbl.gov/ehs/waste/images/pub-3095/image019.jpg
References:
Gsk source. (2011). Retrieved from http://www.gsksource.com/gskprm/en/US/adirect/gskp rm?cmd=ProductDetailPage&product_id=1244136744215&featureKey=600552
