NR 293 PHARMACOLOGY EXAM 2
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
What drugs are in the drug class Anticoagulants I - ANSWER -Heparin
-enoxaparin -LMWH
-dalteparin -LMWH
what is the Action/ use of Anticoagulants? I (Heparin, enoxaparin -LMWH
,dalteparin -LMWH) - ANSWER Inhibit clotting factors II, IX, X, XI, and XII
Prevent clot formation
what is the therapetic value of heparin ? - ANSWER •Normal: 25 - 35 seconds
•Therapeutic: 1.5 - 2.5 X
normal= 37.5 - 87.5 sec
average of 70 seconds.
what is the Adverse affect of of Anticoagulants? I (Heparin, enoxaparin -LMWH ,dalteparin -LMWH) -
ANSWER Bleeding
Heparin-induced thrombocytopenia (HIT)
Nausea, vomiting, abdominal cramps.
what does HIT mean and stand for? - ANSWER
whta are the Nursing Implaication for Anticoagulants? I (Heparin, enoxaparin -LMWH ,dalteparin -
LMWH) - ANSWER •Monitor for bleeding and HIT,
•Tx of HIT: Antithrobin: lepirudin, agathroban
•Tx of bleeding/antidote: Protamine sulfate
Monitor PTT
,what drug are in the drug class Anticoagulants 11 - ANSWER Warfarin (Coumadin
what is the therapeutic value for warfain - ANSWER •PT: 1.5-2 X
normal= 13.5 - 26 seconds
what is the Action/ use of the Drug Anticoagulants II (warfain) - ANSWER Inhibits production of vitamin
K-dependent clotting factors II, VII, IX, and X,
-Prevent clot formation
what is the Adverse effect of Anticoagulants II (warfain) - ANSWER Bleeding
what are the nursing implications of Anticoagulants II (warfain) - ANSWER •Antidote vitamin K
•Monitor PT, and INR.
Diet to Restrict Foods with to much Vitamin K
what drugs are in this drug class Anticoagulants III - ANSWER Lepirudin, argatroban
What is the action / use of the drug Anticoagulants III, Lepirudin, argatroban. - ANSWER Antithrombin.
Inhibits CF II
what is the adverse affect of the drug Anticoagulants III, Lepirudin, argatroban. - ANSWER Bleeding
what is the nursing implaction for the drug Anticoagulants III, Lepirudin, argatroban. - ANSWER •Tx of
HIT: Antithrobin: lepirudin, agathroban
what drugs are in the drug class Anticoagulants IIII - ANSWER fondaparinux (Arixtra)
rivaroxaban (Xarelto)
apixaban (Eliquis)
what is the Action/drug of the Anticoagulants IIII (fondaparinux (Arixtra)
, rivaroxaban (Xarelto), apixaban (Eliquis)) - ANSWER factor Xa inhibitors
what is the Adverse effect of Anticoagulants IIII (fondaparinux (Arixtra)
what drug is in the drug class Antiplatelet ? - ANSWER Pentophylline
what is action/ use of the drug Antiplatelet (Pentophylline) - ANSWER Decrease blood viscosity
what is the adverse effect of Antiplatelet (Pentophylline) - ANSWER bleeding
what drug is in the drug class Thrombolytic - ANSWER -streptokinase
-alteplase (Activase, Cathflo Activase)
-reteplase (Retavase)
what is the action / use of Thrombolytic - ANSWER break down, or lyse preformed clots
what is the adverse effects of Thrombolytic - ANSWER -Bleeding
-Nausea,
-vomiting,
-hypotension
-Cardiac dysrhythmias
what is the nursing implacation for Thrombolytic - ANSWER Antidote: Aminocaproic acid " it forms clots"
What is the treatment of hemophilia - ANSWER Aminocaproic acid
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