Anticoags, Antiplates, Thrombolytics

Question 1

Arterial clots

Answer 1

Pain
Pale
No pulse
Lifestyle changes

Question 2

Venous clot

Answer 2

Bed rest kills
Blue
Edema
Ambulation
Obstruction back to heart

Question 3

Anticoagulant

Answer 3

Prevents blood from coagulating, prevents formation of clot

Question 4

Antiplatelet

Answer 4

Prevents platelet aggregation, prevents clot

Question 5

Thrombolytics

Answer 5

Attacks and dissolves clots that are already formed

Question 6

Anticoagulant medications

Answer 6

Heparin & warfarin

Question 7

Heparin

Answer 7

Lovenox
Contraindications: stroke, eye, brain and spinal surgery
Use for DVT, abdominal surgery
Lab: aPTT
Protamine Sulfate = antidote
Administer IV
Teaching: soft toothbrush & electric razor

Question 8

Warfarin

Answer 8

INR & PT
Vitamin K = antidote
Coumadin clinic
Prevents PE, embolism from A-fib = stroke
Avoid leafy greens

Question 9

Novel anticoagulant

Answer 9

Less side effects

Don’t require monitoring

Question 10

Anti-platelet drugs

Answer 10

Clopidogrel & Aspirin

Question 11

Clopidogrel

Answer 11

Give platelets if emergency

Reduces risk of MI, stroke, PVD from happening again

Question 12

Asprin

Answer 12

Effective
Inexpensive
Long term therapy
Inhibits enzyme for platelet synthesis

Question 13

TPA

Answer 13

Thrombolytic
Dissolves clot
MI: admin in 4 hours
Stroke: admin in 3-4.5 hours
Treats DVT, PE
Follow with anticoagulant therapy

Question 14

A patient is recovering from surgery to replace her right hip. In the early postoperative phase, the nurse anticipates administration of which drug to prevent DVTs?

Answer 14

Low molecular weight HEPARIN

Question 15

A patient develops a DVT. The nurse anticipates administration of which medication?

Answer 15

IV HEPARIN

Question 16

The patient is being discharged home on warfarin therapy. Which information will the nurse include when teaching the patient?

Answer 16

INR results should be between 2-3

Question 17

A patient is prescribed aspirin, and clopidogrel. The nurse identifies the drug classification of clopidogrel as an

Answer 17

Antiplatelet

Question 18

A patient arrive in the ER two hours after having an ischemic stroke. The patient is given and IV injection of tPA. It is most important for the nurse to monitor what?

Answer 18

Bleeding
Vital signs
Allergic reactions
Electrocardiogram

Question 19

Which information will the nurse include when teaching a patient about warfarin therapy?

Answer 19

Follow up with scheduled lab tests = PT & INR

Question 20

A patient manifests symptoms of a thrombotic stroke. The ER nurse is aware that thrombolytics need to be administered in this situation within how many hours of the onset of symptoms?

Answer 20

3 hours