Direct oral anticoagulants: a new challenge for nurses in terms of patient safety improvement

Section: Práctica Clínica

How to quote

Iranzabal Iturrieta I, Gallego Pérez ML, Hernández de la Fuente L. Anticoagulantes orales directos. Un nuevo reto para Enfermería en la mejora de la seguridad del paciente. Metas Enferm jul/ago 2019; 22(6):57-65.

Authors

Iratxe Irazabal Iturrieta1, Mª Luisa Gallego Pérez1, Lourdes Hernández de la Fuente1

Position

1Enfermera. Organización Sanitaria Integrada (OSI) Bilbao-Basurto. Ambulatorio Indautxu-Areilza. Bilbao (Bizkaia)

Contact address

Iratxe Irazabal Iturrieta. OSI Bilbao-Basurto. Ambulatorio Indautxu-Areilza. 48011 Bilbao (Bizkaia).

Contact email: iIratxe.irazabaliturrieta@osakidetza.net

Abstract

Atrial fibrillation (AF) is the sustained cardiac arrythmia more frequently described, and oral anticoagulation is the specific treatment for this condition. The launch of direct oral anticoagulants has represented a revolution, and given that these medications are the pharmacological group that generates more adverse events, their management represents a challenge for nurses. For this reason, it is essential to provide nursing professionals with the knowledge required for an optimal and safe management of these medications. This means creating awareness about the main direct anticoagulants, their mechanism of action and treatment indications, as well as their perioperative management, in order to establish safe practices when faced with potential interactions and/or adverse events derived of their inadequate use, with the aim to improve compliance and adherence, which are key factors for controlling this condition.

Keywords:

anticoagulants; atrial fibrillation; treatment adherence; Treatment adherence

Versión en Español

Título:

Anticoagulantes orales directos. Un nuevo reto para Enfermería en la mejora de la seguridad del paciente