Archer NCLEX Pharm 2023 Questions and Answers with complete solution
2 views 0 purchase
Course
Archer NCLEX Pharm
Institution
Archer NCLEX Pharm
Archer NCLEX Pharm 2023 Questions and Answers with complete solution
what are the 2 types of anti-anxiety agents? What are their endings? and what anti-anxiety medication is mostly used on the NCLEX?
short acting
-MidazoLAM
-DiazePAM
intermediate-long acting
-clonazePAM
-alprazoLAM (Xana...
archer nclex pharm 2023 questions and answers with
Written for
Archer NCLEX Pharm
All documents for this subject (8)
Seller
Follow
LECTMAGGY
Reviews received
Content preview
Archer NCLEX Pharm 2023 Questions and Answers with
complete solution
what are the 2 types of anti-anxiety agents? What are their endings? and what
anti-anxiety medication is mostly used on the NCLEX?
short acting
-MidazoLAM
-DiazePAM
(anti-anxiety agents end in LAM or PAM, lorazepam [ativan] is the antianxiety agen that
is mostly used within the NCLEX, the two types of anti-anxiety agents are short acting
and intermedicate-long acting)
Lorazapam (Ativan) therapeutic class, indication, action, and nursing
considerations
THERAPEUTIC CLASS: anti-anxiety agent
INDICATION: anxiety, sedation, and seizures
(lorazepam [ativan] is the first line of treatment for seizures lasting for than 5 minutes)
ACTION: general CNS depression
NURSING CONSIDERATIONS: avoid alcohol, monitor respiratory depression, antidote-
flumazenil
what is the first line of treatment for seizures lasting more than 5 minutes
anti-anxiety agent lorazepam (Ativan)
what is the antidote for lorazepam [ativan]?
the antidoite for lorazepam (ativan) is flumazenil
what are the top anti-arrhythmics listed in the NCLEX?
●Amiodarone
●ADENOSINE
●Procainamide
what is adenosine's therapeutic class, indication, action, and nursing
considerations?
THERAPEUTIC CLASS: anti - arythmic
INDICATION: SVT (super-ventricular tachycardia)
ACTION: slows conduction though AV node, interrupts re-entry pathways though AV
node, restoring normal sinus rhythm
, NURSING CONSIDERATIONS: there will be a period of asystole after administration,
warn the patient - it iwll feel like someone kicked them in the chest (bc the heart is
stopping), warn the family-they will flatline on the monitor, RAPID PUSH-OR IT WILL
NOT WORK (need adenosine to be rapidly pushed into the heart within 2 second)
if the patient has multiple IV lines, why would you use the IV line closest to the
heart to administer adenosine?
adenosine needs to be administered RAPID PUSH though an IV to reach the heart
within 2 seconds. Choosing the IV line that is closest to the heart ensures a faster route.
what must you warn the patient and the family before administering adenosine?
Because adenosine is an anti - arrhythmic agent, the action of anti - arrhythmics are to
slow conduction thought he AV node; interrupt reentry pathways though AV node; and
restore normal sinus rhythm. Tell the patient that they will experience a great amount of
pain because the heart is stopping and tell the family the monitor will show a flatline
because there will be a period of asystole after administration
what are popular anti - coagulants?
Heparin
warfarin
enoxaparin (low-molecular weight heparin)
clopidogrel (plavix)
What is the classification of Heparin?
Heparin is classified as an indirect thrombin inhibitor
what is a an example of an indirect thrombin inhibitor? and how does it work?
Heparin is an indirect thrombin inhibitor.
Normally, thrombin catalyzes fibrinogen to fibrin, and firbrin froms clots. Antithrombin III
inhibits thrombin. The indirect thrombin inhibitor, Heparin, ENHANCES antithrombin III =
stops thrombin from being activated, which therefore prevents clots from forming =
intrinsic coagulation pathway
end result? SLOWS DOWN CLOTTING
what are the uses of heparin?
the uses of heparin are to prevent blood clots
-strokes
-post-operatively
-chronic a-fib (we would want to use heparin with a pt with chronic a-fib bc the atria is
quivering, resulting to blood pooling within the atria and clotting. This is dangerous bc
the clot can breat loose and eject form the heart and go to the brain and cause a stroke,
or go in the lungs and cause a pulmonary embolism
how do you administer heparin?
sub q or IV
what is an important task to do when a patient is on a heparin drip?
patient on a heparin drip have aPTT levels drawn q4-6 hours to titrate the drip
aPTT = partial thromboplastin time
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTMAGGY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
