A patient with a history of deep venous thrombosis is prescribed dabigatran (Pradaxa). What should the nurse instruct the patient about this medication?
Select all that apply.
1. Use a straight razor to shave if necessary.
2. Limited amounts of alcohol are permitted.
3. A reversal agent for this medication is not available.
4. The cost of this medication is higher than for warfarin.
5. Laboratory test monitoring is not necessary for this medication.
Correct Answer: 3, 4, 5
Rivaroxaban (Xarelto) acts as a selective factor X inhibitor, inactivating the cascade of coagulation. It does not require monitoring like warfarin does, however, there is no reversal agent available for this drug. The cost is significantly higher for this drug when compared to warfarin. The patient should be instructed to prevent injury and bleeding. A straight razor would be contraindicated. Alcohol should be avoided while taking this medication.
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