The nurse is caring for a 70-year-old patient taking clopidogrel (Plavix) 75 mg daily. What concerns should the nurse have regarding clopidogrel and the elderly?
a. The dose should be the same for all adults regardless of age.
b. The dose ordered should be 50% of that for a younger patient.
c. The dose should be decreased by 25% in elderly patients with renal impairment.
d. The daily maintenance dose of clopidogrel for an elderly patient is 25 mg.
ANS: A
The daily dose of clopidogrel for adults is 75 mg.
Dosage adjustments do not need to be made for elderly patients.
Dosage need not be changed for elderly patients with renal impairment.
The daily maintenance dose of clopidogrel for adults, regardless of age, is 75 mg once a day.
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