Blood Clotting Meds

Question 1

Lovenox (Enoxaparin)

Answer 1

Low molecular weight heparins

Question 2

Antidote for heparin

Answer 2

Pritamine sulfate

Question 3

Adverse effect of heparin

Answer 3

HIT- heparin induced thrombocytopenia

Question 4

Anticoagulant that treats HIT

Answer 4

Argatroban

Question 5

True or false: lovenox should be given in the arm

Answer 5

False: it’s given subQ in love handles

Question 6

TSOAs- target specific oral anticoagulants

• Argatroban
• bivalirudin

Answer 6

Direct thrombin inhibitors

Question 7

Factor Xa inhibitors

Answer 7

Dabigatran Etexilate (Pradaxa)
Apixaban (Eliquis(
Rivaroxaban (xarelto)
Edoraxaban (edoxaban)

Question 8

Prevents clot formation (combined with aspirin) in patients with unstable angina who are undergoing coronary angioplasty

Answer 8

Bivalirudin (Angiomax)

Question 9

Indicated to treat HIT

Answer 9

Argatroban

Question 10

Anticoagulant used in emergencies

Answer 10

Heparin

Question 11

Oral anticoagulant with delayed onset

Answer 11

Warfarin

Question 12

What is used for monitoring treatment of warfarin

Answer 12

PT and INR (2-3 therapeutic range )

Question 13

Adverse effects of Warfarin

Answer 13

Hemorrhage

Warfarin induced skin necrosis

Question 14

Used for Warfarin overdose

Answer 14

Vitamin K

Question 15

Which type of heparin is less likely to hemmorage

Answer 15

Low-molecular weight heparin

Question 16

Direct thrombin inhibitors are given to patients who develop HIT, Given with antiplatelets,

Answer 16

True

Question 17

Clotting factor inhibitor

Answer 17

Warfarin

Question 18

Vitamin K in strictly prohibited when taking warfarin

Answer 18

False- dietary must be consistent

Question 19

Would you question Order of a 20 hour postpartum patient?

Answer 19

Yes, thrombolytics are contraindicated in women 24 hr postpartum

Question 20

PreVENTION of DVT

Prevention of ischemic complications: unstable angina and MI

Answer 20

Low molecular weight heparin

Question 21

SubQ heparin injection

Answer 21

Low molecular weight heparin

Question 22

When is only time heparin and warfarin is giving simoustanously

Answer 22

When weaning off heparin

Question 23

Should u get your labs done daily when patient heparin is d/c and pt is on Eliquis

Answer 23

No, not as much
Besides this medication don’t have labs to monitor.
However you still want coag labs done

Question 24

Heparin most pertinent lab

Answer 24

aPTT

Question 25

Therapeutic aPTT range

Answer 25

60-80 secs

Question 26

Antiplatelets

Answer 26

Prevent atrial thrombus

Question 27

Warfarin is a clotting factor synthesis inhibitor

Answer 27

True

Question 28

Oral antiplatelets

Answer 28

Plavix, aspirin , pletal

Question 29

IV antiplatelets

Answer 29

Repro, integralin, aggtrastat

Question 30

Adverse effect is tinnitus

Answer 30

Aspirin

Question 31

Lab to check after administering antiplatelets

Answer 31

Platelet count

Question 32

Pt teachings for antiplatelets

Answer 32

Take with meals Treatment may be life long Avoid aspirin or NSAID OTC meds Avoid alcohol

Question 33

Clot buster

Answer 33

Thrombolytics

Question 34

Should you question an order of IM med after thrombolytics are administered?

Answer 34

Yes, all IV , catheters, and invasive procedures should be done before administering

Question 35

Adverse effects of thrombolytics

Answer 35

Hemmorage, fever, chest tightness, chills, Soa

Question 36

Contraindication of thrombolytics during first 5 months of prego

Answer 36

Increase risk for miscarriage

Question 37

Colony stimulating factors med given to renal failure patients

Answer 37

Epoetin and darepoetin- hence erythrocyte growth factors

Question 38

Granulocyte colony stimulating factor | Fligrastim and pegfligrastim are given to whom

Answer 38

Chemo pts

Question 39

S/e: increased vicious blood-> raised BP INCREASE formation of clots Slow movement through small vessels

Answer 39

Colony stimulating factors

Question 40

Pt teaching of colony stimulating factors

Answer 40

Daily weight Report signs of abnormal clotting Report to ER for signs of of heart attack or stroke Self-injection technique