Final answer:
When instructing a client with atrial fibrillation who is prescribed dabigatran, it's critical to emphasize adherence to the prescribed regimen, recognition of bleeding risks, and the importance of communicating with healthcare providers about all medications and any health changes.
Step-by-step explanation:
Teaching a client with atrial fibrillation who receives a new prescription for dabigatran involves providing comprehensive instructions to ensure the medication is taken safely and effectively. Dabigatran, also known as Pradaxa, is an anticoagulant used to prevent blood clots in patients with atrial fibrillation not caused by heart valve problems. It is essential for clients to understand that they should take this medication exactly as prescribed by their healthcare provider, without skipping doses or taking extra doses. Clients should also be aware of the potential for bleeding complications, which is a side effect of anticoagulants like dabigatran. They must be vigilant for signs of bleeding, such as unusual bruising, pink or brown urine, and coughing up or vomiting blood. Additionally, clients should inform their healthcare providers about all other medications they are taking, including over-the-counter drugs, vitamins, and herbal supplements, as these can interact with dabigatran.
It's also important to note that, unlike warfarin (Coumadin), routine blood testing for INR is not required with dabigatran. However, clients should attend all scheduled appointments and inform their healthcare providers of any changes in their health status. In case of procedures or surgeries, clients must discuss with their healthcare providers when to stop taking dabigatran before the procedure and when to resume it afterwards. Moreover, the medication should be stored at room temperature and kept in its original container to protect it from moisture. The client should not chew or break the capsules and should swallow them whole.