A patient with a low INR on warfarin would be at risk for ___, while a patient with
a high INR would be at risk for ___ - ANSWERS-clotting, bleeding
What are the safety considerations for a patient on warfarin? - ANSWERS-soft
bristle toothbrush, stay consistent with vitamin K and let hcp know if it changes,
electric razor, keep bloodwork appointments every 2-4 weeks, know the S/S of
bleeding, reduce risk of falls/bleeding
A patient on warfarin will be at increased risk for bleeding if they take ___ and
___ - ANSWERS-NSAIDS, garlic
Patients are/are not prescribed warfarin and aspirin at the same time - ANSWERS-
are
Some ___ can interfere with warfarin bc they are highly protein bound, while
others interfere with the ___ system - ANSWERS-antibiotics, CYP-450
What is argatroban used for? - ANSWERS-HIT
While on argatroban, a patients ___ lab should not exceed ___ - ANSWERS-aPTT,
100 seconds
,Two benefits for a patient on dabigatran/rivaroxaban? - ANSWERS-less
monitoring, don't have to worry about vitamin K
The antidotes for dabigatran/rivaroxaban are only used in ___ situations of ___
bleeding - ANSWERS-emergency, uncontrolled
Antidote for dabigatran - ANSWERS-idarucizimab
Antidote for rivaroxaban/apixaban - ANSWERS-andexanet alpha
Antidote for alteplase - ANSWERS-aminocaproic acid
Aspirin is used as an antiplatelet drug because it prevents ___ ___ by inhibiting
___ and ___ - ANSWERS-platelet aggregation, Cox 1, Cox 2
Once a platelet is changed, it is ___ - ANSWERS-irreversible
Epinephrine is used for ___ ___ and ___ ___ - ANSWERS-cardiac arrest, allergic
reaction
, What system is epinephrine stimulating? - ANSWERS-SNS
What are the adverse effects of epinephrine? - ANSWERS-tremors, agitation,
tachycardia, urinary retention, hypertension, decreased renal perfusion
When determining the difference between urinary retention and decreased
urinary perfusion, what should you do? - ANSWERS-palpate the bladder
Before administering epinephrine, the nurse should assess the ___ and the ___
since the drug causes vasoconstriction. - ANSWERS-BP, HR
When giving epinephrine for allergic reaction, how do you evaluate if it worked? -
ANSWERS-wheezing stopped, BP comes up
If infiltration has occurred during IV epinephrine administration, you will notice
___ and ___ to the touch around the site. - ANSWERS-swelling, coolness
What is the drug given for epinephrine infiltration? - ANSWERS-phentolamine
Phentolamine will prevent ___ due to ___ if epinephrine is infiltrated. -
ANSWERS-necrosis, ischemia
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