Anticoagulant Concepts

Question 1

92) What is the correct route for the administration of heparin or low molecular weight heparin like enoxaparin?

Answer 1

Heparin- IV or SC

LMWH enoxaparin- SC

Question 2

93) What is the correct therapeutic monitoring levels for a client on heparin therapy?

Answer 2

60-80 seconds

Question 3

94) What is the antidote for a heparin overdose?

Answer 3

Protamine Sulfate

Question 4

95) What is another serious side effect of heparin that requires blood testing?

Answer 4

Thrombocytopenia (HIT)

Question 5

96) What is the correct therapeutic monitoring levels for a client on warfarin?

Answer 5

INR 2-3

Question 6

97) What is the antidote for a warfarin overdose?

Answer 6

Vitamin K

Question 7

98) What is the dietary teaching required for warfarin?

Answer 7

avoid vitamin K foods

Question 8

99) What are alternative anticoagulant therapies in place of warfarin for a client experiencing atrial fibrillation that would not require therapeutic drug monitoring?

Answer 8

.

Question 9

100) What is the drug of choice for a client who has had a cardiac stent placed for antiplatelet therapy?

Answer 9

Aspirin

Question 10

101) If a patient cannot have a cath procedure what medication might be indicated for this client? What are the contraindications for this type of medication? What are possible side effects?

Question 11

102) Explain the rationale for a client on aspirin therapy taking acetaminophen for headache.