AntiCoags

Question 1

INR normal value

Answer 1

1, if on anticoagulant number will be higher

Question 2

PT (prothrombin time)

Answer 2

9.5-12 s

Question 3

PTT (partial thromboplastic time)

Answer 3

60-70s intrinsic pathway

Question 4

if we get an INR value of 3, we would:
administer dose
hold dose

Answer 4

hold dose- let it get metabolized and recheck INR

Question 5

who receives a d’dimer and bleeding time test

Answer 5

pt receiving thrombolytics

Question 6

types of heparin

Answer 6

Dalteparin (fragmin)

Enoxaprina (lovenox)

Question 7

Drug class: heparin action?

Answer 7

prevention of further thrombi/thrombi extension

Question 8

contraindications for heparin

Answer 8

bleeders

GI bleeders, hemmoragic stroke, coagulapathies etc

Question 9

You receive a new order for an anticoag, what is your first concern?

Answer 9

get coag’s for a baseline.

monitor coag’s 4 hours after treatement.

Question 10

if the INR is close to normal levels prescriber will most likely

Answer 10

increase the dose

Question 11

anticoagulant that requires frequent adjustments, making adhearance troublesome!

Answer 11

coumadin

Question 12

Which drug class is a DVT prophylaxis and prevent stroke in afib

What drugs belong to this class

Answer 12

Direct factor Xa Inhibitor

Eliquis
Xarelto

Question 13

pradaxa antidote

what kind of drug is pradaxa?

Answer 13

praxbind

these drugs are Direct thrombin inhibitor (DTI’s)

Question 14

asa and nsaids action

Answer 14

inhibit prostaglandin synthesis

inhibit aggregations of platelets

Question 15

if you mix ASA with persantin =

Answer 15

aggrenox

Question 16

types of antiplatelet meds

Answer 16

Asprin ASA
NSAIDS
(dipyridamole) persantin
aggrenox

Question 17

platelet reducing drug

what is it used for?

Answer 17

agrylin

used for pts with thrombocytopenia, NOT CARDIAC pts

Question 18

activating factor 10A inhibitors, names of drugs and routes

Answer 18

Fondaparinux (Arixtra)- parental

Edoxaban (Savaysa)- route SO AP!

Question 19

PAR-1 drug called

Answer 19

zontivity

Question 20

what does agrylin do?

Answer 20

reducing production of platlets in the bone marrow

NOT keeping the platelets from aggregating

Question 21

What is the drug of choice to prevent thrombosis in stented cardiac vessels?

Answer 21

ADENOSINE DIPHOSPHATE RECEPTOR ANTAGONISTS P2Y

Question 22

What are the types of ADENOSINE DIPHOSPHATE RECEPTOR ANTAGONISTS

Answer 22

Clopidogrel (Plavix)
Ticlopidine (Ticlid) (TIA’s)
Ticagrelor (Brilinta)
Prasugrel (Effient)

Question 23

drug that treats acute coronary syndrome

Answer 23

Ticagrelor (Brilinta)

Question 24

Adenosince diphosphate receptor antagonist P2Y drug thats “more effective than Plavix”

Answer 24

Ticagrelor (Brilinta)

Question 25

what drug do we use to prevent clots in stented patients?

Answer 25

P2Y

Question 26

given as quick IV bolus at time of an MI

Answer 26

integrelin****

Question 27

anticoag given for intermittent claudication definition

Answer 27

pain in calves Cilostazol (Pletal)

Question 28

what route is integrilin given during MI

Answer 28

IV bolus

Question 29

PT/PTT values under therapy

Answer 29

1.5-2 times control

Question 30

A patient being treated with coumadin, what lab values do we look at

Answer 30

PT | INR

Question 31

A patient taking Heparin we are looking at what lab values

Answer 31

PTT | APTT use the picture slide on S23 (2 T's)

Question 32

those with CVD or risk of should have s. cholesterol at what is the optimal goal level

Answer 32

<100 less than 70

Question 33

what age group is placed on statin?

Answer 33

40-75

Question 34

those with ___ conditions should be placed on statins even if their cholesterol is normal

Answer 34

``` MI CVD TIA PAD angina ```

Question 35

Dyslipidemic medication that is a bile acid sequestrant

Answer 35

Colesevelam (Welchol)

Question 36

Nursing precaution with statin

Answer 36

Hard on liver: monitor LFT's 6 and 12 weeks | Grapefruit juice increases drug levels

Question 37

SE of statin

Answer 37

watch for muscle pain and weakness rhabdomylosis - myopathy gallstones

Question 38

contraindications of statin

Answer 38

liver disease

Question 39

when should a statin be administered? why?

Answer 39

hour of sleep or evening meal cholesterol is produced at night liver is sleeping at night, less SE

Question 40

Which statin needs a lower dose in asians?

Answer 40

Rosuvastatin (Crestor)

Question 41

What type of statin treats hypertiglyceridemia? route?

Answer 41

MTP inhibitor such as Lomitapid (Juxtapid) (i and i= i in hypertriglyceridiemia and juxapid) oral

Question 42

SE of MTP inhibitor

Answer 42

GI upset

Question 43

What do PCSK9 inhibitors do?

Answer 43

block protein that enter LDL receptors (in liver), which allow for the transport of LDL into the cell for metabolism

Question 44

name of a PCSK9 drug | how often is it utilized?

Answer 44

Praluent (alirocumab) | an antibody- 2x a month

Question 45

What is the risk of taking Fibrates? what kind of drug are they?

Answer 45

Receptor drug increased risk of rhabdomyolysis when taking with statins increased risk of bleeding when taking with coumadin

Question 46

What type of nursing education would a person taking Zetia need?

Answer 46

greasy poop

Question 47

Niacin nicotinic acid SE

Answer 47

``` heptatoxic flushing intolerance of heat redness sweating of the face ```

Question 48

treatment for sinus bradycardia what type of drug is this? what is the action of this drug? When is this drug used?

Answer 48

atropine anticholinergic drug slows the HR When patient shows signs of low perfusion- tired, weak dizzy passing out. If asymptomatic DO NOT TREAT

Question 49

Quinidex Contraindications What type of drug is this?

Answer 49

HF sodium channel blocker

Question 50

Quinidex action

Answer 50

widens QRS | prolongs QT interval

Question 51

Quinidex SE

Answer 51

fatal dysrthmias

Question 52

vitamin K is an antidote for | what is the other names for is

Answer 52

Coumoudin | Aqua and phytonadione