Final answer:
In the case of a pregnant client with thrombophlebitis, Heparin (Hep-Lock) and Enoxaparin (Lovenox) may be prescribed as safe anticoagulant medications. Other anticoagulants such as Clopidogrel, Warfarin, and Acetylsalicylic acid are typically avoided due to their potential risks to the fetus.
Step-by-step explanation:
When caring for a pregnant client with thrombophlebitis, certain anticoagulant medications may be prescribed to prevent thrombus formation and propagation. The safe anticoagulants during pregnancy are primarily heparin-based products because they do not cross the placenta and hence do not affect the fetus. Therefore:
- Heparin (Hep-Lock) may be prescribed.
- Enoxaparin (Lovenox), which is a low molecular weight heparin, may also be prescribed.
Other anticoagulants such as Clopidogrel (Plavix), Warfarin (Coumadin), and Acetylsalicylic acid (Acuprin) are generally avoided during pregnancy due to the potential risk of teratogenic effects or bleeding complications. Warfarin, in particular, is known to be associated with birth defects and other problems in the fetus and is typically avoided. Low molecular weight heparins like enoxaparin are preferred over standard heparin due to their longer half-life and more predictable anticoagulant effect.