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Vol. 27. Issue 2.
Pages 106-112 (March - April 2017)
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Vol. 27. Issue 2.
Pages 106-112 (March - April 2017)
Special Article
Direct anticoagulants and nursing: An approach from patient's safety
Anticoagulantes directos y Enfermería: un abordaje desde la seguridad clínica
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Adolfo Romero Ruiza,b, Adolfo Romero-Aranab, Juan Gómez-Salgadoc,d,
Corresponding author
jgsalgad@gmail.com

Corresponding author.
a Servicio de Hematología y Hemoterapia, Hospital Universitario Virgen de la Victoria, Málaga, Spain
b Departamento de Enfermería, Universidad de Málaga, Málaga, Spain
c Departamento de Enfermería, Universidad de Huelva, Huelva, Spain
d Escola Superior de Saúde, Universidade Atlântica, Lisboa, Portugal
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Figures (1)
Tables (4)
Table 1. Characteristics of direct anticoagulants (DA).
Table 2. DA pharmacological interactions and incompatibilities.
Table 3. List of items to take into account in follow-up of patients treated with NOAC.
Table 4. Most common nursing interventions in patients on OCA.
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Abstract

In recent years, a new line of treatment for the prevention of stroke in non-valvular atrial fibrillation, the so-called direct anticoagulants or new anticoagulants has appeared. The proper management and follow-up of these patients is essential to minimise their side effects and ensure patient safety.

In this article, a description of these drugs is given, analyzing their characteristics, functioning and interactions together with the most habitual nursing interventions, as well as a reflection on the implications for the practice.

Keywords:
Non valvular atrial fibrilation
Anticoagulants
Nurses
Patient safety
Resumen

En los últimos años ha aparecido una nueva línea de tratamiento para la prevención del ictus en la fibrilación auricular no valvular, los denominados anticoagulantes directos o nuevos anticoagulantes. El adecuado manejo y seguimiento de estos pacientes resulta imprescindible para minimizar sus efectos secundarios y garantizar la seguridad del paciente.

En este artículo, se ofrece una descripción de estos fármacos, analizando sus características, funcionamiento e interacciones junto con las intervenciones enfermeras más habituales, así como una reflexión sobre las implicaciones para la práctica.

Palabras clave:
Fibrilación auricular
Anticoagulantes
Enfermeras
Seguridad clínica

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