Exam (elaborations)
Nurs 517 Exam 3 Final Questions answers latest update
- Course
- NURS 517
- Institution
- University Of Hawaii - Manoa
Nurs 517 Exam 3 Final Questions answers latest update
[Show more]
Content preview
Nurs 517 Exam 3 Finalheparin MoA/classification/indications
- anticoagulant / drugs that activates antithrombin
- helps antithrombin inactivate clotting factors specifically thrombin and factor Xa
- rapid anticoagulant effects (PE, DVT) (in veins)
- preferred anticoagulant for pregnancies
- used during surgeries
heparin adverse and considerations
- heparin-induced thrombocytopenia, anemia, bleeding
- administered through IV only
- watch for pt with uncontrolled bleeding, kidney or liver disease
- Assess: bleeding, aPTT, platelets,
- protamine sulfate = reversal agent
- use electric razor
warfarin classification/MoA/indications
- anticoagulant / Vitamin K antagonist
- dec. production of vitamin K-dependent clotting factors
- prevention of clotting, Afib, DVT, PE, MI, thromboembolism, embolism (in veins)
warfarin adverse and considerations
- Assess: PT & INR (2-3)
,- Teach: requires lab draws; high alert med, avoid foods with Vitamin K, electric
razor
- Vitamin K is reversal agent
- hemorrhage, Gl bleeding, prolonged bleeding time
oral anticoagulants
- Afib, knee/hip replacement, PE/DVT, thrombosis in veins
- warfarin, dabigatran, apixaban
- BLEEDING, Gl disturbances, hematuria
- can be taken with or without food; DO NOT CRUSH
- report bleeding
- do not stop abruptly
- multiple drug interactions
apixaban classification/MoA
- oral anticoagulant/direct factor Xa inhibitor
- binds to factor Xa, inhibiting production of thrombin
- Andexanet alfa is reversal agent
enoxaparin/heparin bleeding precautions
- electric razor
- stop at least 5 days before surgery
- no toothpicks
- careful when trimming toes
- prevent injuries
, Antiplatelets
- inhibition of COX
- thrombuses in arteries, stroke, angia, MI, clot formation
- Gl bleeding, hemorrhage, rash, diarrhea, bruising, epistaxis, hematuria
- stop 1 week before surgery
- Assess: VS, СВС, РТ, РТТ
- Desired: absence of thrombotic events
- aspirin & clidopigel
carbidopa/levodopa
- increases dopamine in the CNS
- SE: dyskinesias (tics), orthostatic hypotension, dark urine and sweat, N/V,
psychosis
- avoid high protein meals as they decrease
effectiveness of carbidopa/levodopa
- may take up to months to see effects, reduces symptoms does not stop
progression
benztropine
- anticholinergics/anti-Parkinson's
- decrease muscle tremors and muscle rigidity
- decrease Ach in the CNS
- SE: Anticholinergic effects (urinary retention,
constipation, dry mouth, blurred vision,
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 Schoolflix. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53340 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now