Blood And Lumph

Question 0

What is heparin and by what route is it administered?

Answer 0

Anticoagulant. Given SQ and is absorbed best in abdomen.

Question 1

Medications used to treat pernicious anemia?

Answer 1

Vit.B12. Given IM, For a lifetime

Question 2

How does the nurse decrease formation of hematoma while injecting heparin?

Answer 2

I’ve before and after, rotate sites and pressure for 10sec

Question 3

Reversal agent for heparin?

Answer 3

1% Protomin sulfate

Question 4

How long does it take for Coumadin to take effect?

Answer 4

12-24hours

Question 5

Reversal agent for coumadin?

Answer 5

Vit.K

Question 6

What monitoring is necessary for patient on anticoagulants?

Answer 6

Monitor PT and INR for Coumadin, PTT for heparin, bleeding, bruising, and any signs of bleeding.

Question 7

How can iron affect your stool ?

Answer 7

Constipation and dark/tarry stool

Question 8

What inhibits and increases absorption of iron?

Answer 8

Inhibits: dairy and anti acids
Increases: vit.C and empty stomach

Question 9

What technique is used to administer iron IM?

Answer 9

Z track to keep iron in place to prevent irritation.

Question 10

Side effects to neoplasticism drugs?

Answer 10

Anti cancer drug
Depresses bone marrow (RBC, WBC, platelets) , anemia, infection, bleeding, can irritate GI, nausea, vomiting, irritated mouth, hair loss, anorexia

Question 11

Purpose for enteric coating?

Answer 11

Prevents irritation of stomach and releases in small intestines

Question 12

What should the nurse include when teaching patient about Coumadin?

Answer 12

Not to eat iron rich foods (green leafy vegs) cause vit K is the reversal agent of Coumadin

Question 13

Common side effects of opioids?

Answer 13

Respiration depression, constipation and nausea

Question 14

What are hemostatic agents used for?

Answer 14

Stops flow of blood. Can be give PO, injection and foam

Question 15

If a patient starts to bleed what’s the nursing response?

Answer 15

Pressure

Question 16

Thrombolytics

Answer 16

Clot busters, dissolves clots. Given for patients with heart attack, stroke.
Ends on ASE

Question 17

What should a nurse monitor when patient is receiving a blood transfusion?

Answer 17

Allergic reaction: itching, rash and hives

Monitor vitals before during and after

Question 18

What medication is given when patients white blood cell count is low?

Answer 18

Neupogen: stimulates WBC

Question 19

What medication is given for anemia such as in association with chemo or chronic renal failure?

Answer 19

Epogen or procrit (stimulates RBC) it is a synthetic erythropoietin released by the kidneys