1. Warfarin (Coumadin): hemorrhage, transient thrombocytopenia- symp-
Serious side effects and toms are easy bruising, hematuria, bleeding
their symptoms gums, prolonged bleeding times and increased
PT/INR
2. What is Warfarin's anti- Vitamin K
dote?
3. What are some special -important when it comes to trauma because it
considerations for pa- can increase serious hemorrhage risks and in-
tients on warfarin? tracranial hemorrhage so VERY important with
TBI
-avoid foods high in vitamin K as they can interfere
with its effectiveness
-Patient may be on Lovenox or heparin injections
until the Coumadin therapy is effective as it takes
3-5 days to be therapeutic
4. Used as the main treat- Magnesium Sulfate: as it is caused by low magne-
ment for Torsade's de sium levels
Pointes?
5. Used as the main treat- Atropine Sulfate:
ment for SYMPTOMATIC
bradycardia?
6. When should NSAIDs be Avoid in use with clients that have liver failure due
avoided? to inability to clot effectively and in long-term use
for chronic kidney disease because it damages
the kidneys
7. Preferred treatment for synchronized defibrillated cardioversion
when a patient first
convert to AFIB/AFLUT-
TER?
8. Used as a second option Adenosine: can cause dysrhythmias and stop the
for cardioversion when heart-
patients first convert to
, NUR 213 Final Exam
AFIB/AFLUTTER-
Risks?
9. Metronidazole: Serious Seizures
side effects: Leukopenia (infection, low white blood cell
counts) Peripheral neuropathy (numbness and
tingling in the hands and feet)
10. Naloxone is used for -Treat respiratory depression and other emer-
what? gency side effects for narcotics like oxycodone,
morphine, and dilaudid
-Unintentional injury like poisoning with these
substances nurses would prepare to administer
this to save their clients life-
11. What is one of the most seizures
serous side effects of
Naloxone?
12. Methylprednisone: Seri- Peptic ulcer (gnawing stomach pain especially
ous side effects between meals)
Hypocalcemia (muscle cramping)
Osteoporosis (easy bones breaking)
Muscle loss (muscle pain, weakness, and wast-
ing)
Infection, (fever)
13. Piperacillin-Tazobac- Angioedema (facial swelling especially around
tam: Serious side eyes and cough)
effects: Circulatory collapse (severe hypotension followed
by cardiac arrest)
Cardiac arrest (pulselessness, death)
Nephrotoxicity (oliguria and leg swelling)
14. What is used to help Nitroglycerin:
with chest pain in AMI
as it opens the coronary
arteries
15. - cannot be given to men that take ED drugs
, NUR 213 Final Exam
What is a consideration
for nitroglycerin?
16. What is used in AMI Morphine
when nitroglycerin is ei-
ther ineffective or un-
able to be given
17. What can be given to Aspirin
a patient suspected of
having an AMI onset to
help thin blood for eas-
ier flow through block-
age and prevention of
enlarging the blockage
18. Aspirin is given within 30
--?-- minutes of AMI on-
set to help thin blood
for easier flow through
blockage and preven-
tion of enlarging the
blockage
19. Interferon Alpha 2A: Se- Seizures
rious side effects: Myelosuppression (muscle pain and weakness)
Thrombocytopenia (easy bruising and bleeding)
Leukopenia (low WBCs and infection)
Anemia (low H&H), suicidal ideation
Severe depression
Seizures
Myasthenia gravis
Myocardial infarction
Hepatoxicity (jaundice, nausea, vomiting)
20. Corticosteroids: Seri- HYPOcalcemia
ous side effects: Immunosuppression (need vaccinations for pre-
vention and need to teach proper hand hygiene
as well as infection symptoms)
Peptic ulcer
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