Chapter 15 (3) Flashcards
Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is:
Acetaminophen, not to exceed 4 grams per day
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on warfarin. She asks her primary care provider NP why she was getting both medications while in the hospital. The best response is to:
Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days to reach effectiveness.
The safest drug to use to treat pregnant women who require anticoagulant therapy is:
Heparin
The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be considered in which patients:
Overweight or obese patients
Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to review his medications. He is healthy with only mild hypertension that is well controlled. He asks about getting “a shot” to prevent blood clots like his friend Ralph did before international travel. The correct respond would be:
Explain that Cecil is not at high risk of a blood clot and provide education about how to prevent blood clots while traveling.
Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day. Why would this be recommended?
Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Sally has been prescribed aspirin 320 mg per day for her atrial fibrillation. She also takes aspirin four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity for which she would need to be evaluated
Tinnitus
Patient education when prescribing clopidogrel includes:
Do not take any herbal products without discussing it with the provider
For patients taking warfarin, INRs are best drawn:
In the morning if the patient takes their warfarin at night
Patients receiving heparin therapy require monitoring of:
Platelets every 2 to 3 days for thrombocytopenia that may occur on day 4 of therapy
The routine monitoring recommended for low molecular weight heparin is:
Factor Xa levels if the patient is pregnant
When writing a prescription for warfarin it is common to write on the prescription:
The brand name of warfarin and Do Not Substitute
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
Avoiding high-vitamin K-containing foods
Patients who are being treated with epoetin alfa need to be monitored for the development of:
Thrombocytopenia
The FDA issued a safety announcement regarding the use of erythropoiesis-stimulating agents (ESAs) in 2010 with the recommendation that:
The risk of tumor development be explained to cancer patients on ESA therapy
