What should a nurse monitor for in patients receiving anticoagulant therapy?

Monitoring for signs of bleeding is crucial when caring for patients receiving anticoagulant therapy. Anticoagulants work by inhibiting the blood's ability to clot, which is essential in preventing thromboembolic events but also increases the risk of hemorrhage. The nurse should be vigilant for any indications of bleeding, which can manifest as unusual bruising, petechiae, bloody or coffee-ground vomit, or blood in urine or stools. Additionally, patients may report experiencing increased fatigue or weakness as a result of hidden internal bleeding.

The significance of this monitoring cannot be overstated, as timely recognition and intervention can prevent serious complications. By identifying any signs of bleeding early, the healthcare team can take appropriate action, such as adjusting medication doses or providing transfusions if necessary. Understanding this aspect of patient care is key to ensuring the safety and effectiveness of anticoagulant therapy.