A patient will begin taking dabigatran etexilate (Pradaxa) to prevent stroke. The nurse will include which statement when teaching this patient?

a. Dabigatran should be taken on an empty stomach to improve absorption.
b. It is important not to crush, chew, or open capsules of dabigatran.
c. The risk of bleeding with dabigatran is less than that with warfarin (Coumadin).
d. To remember to take dabigatran twice daily, a pill organizer can be useful.


ANS: B
Patients should be taught to swallow capsules of dabigatran intact; absorption may be increased as much as 75%, increasing the risk of bleeding, if the capsules are crushed, chewed, or opened. Dabigatran may be taken with or without food. The risk of bleeding is not less than that of warfarin. Dabigatran is unstable when exposed to moisture, so using a pill organizer is not recommended.

Nursing

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