HEMO DRUGS

Question 1

Name the anticoagulants.

Answer 1

Heparin, Warfarin, Enoxaparin

Question 2

These medications bind with antithrombin to inactivate factor Xa and thrombin.

Answer 2

Heparin and Enoxaparin

Question 3

The medication is used for the prevention of venous thrombosis and DIC.

Answer 3

Heparin

Question 4

With this drug, monitor aPPT, administer protamine sulfate for overdose (SQ or IV), monitor for black stools, petechiae, bruising and excessive bleeding.

Answer 4

Heparin

Question 5

What two medication’s adverse effects are bleeding and thrombocytopenia ONLY.

Answer 5

Heparin and Enoxaparin

Question 6

With these medications educate the patient to not take NSAIDs, use an electric razor, use a soft toothbrush, report signs of bleeding.

Answer 6

Heparin and Enoxaparin

Question 7

With this anticoagulant educate the patient to not take NSAIDs, use an electric razor, use a soft toothbrush, report signs of bleeding, it may take 3-5 days to take full effect, do not take during pregnancy.

Answer 7

Warfarin

Question 8

These medications are used for the prevention of venous thrombosis ONLY.

Answer 8

Enoxaparin and Warfarin

Question 9

Nursing interventions for this medication are do not expel bubble in syringe, administer protamine sulfate for overdose (deep subcutaneous in abdomen, monitor for black stool, easy bruising, petechiae and excessive bleeding.

Answer 9

Enoxaparin

Question 10

This medication blocks the activation of vitamin K.

Answer 10

Warfarin

Question 11

With this medication monitor PT (therapeutic level 18-24 secs), and INR (therapeutic level 2-3), administer vitamin K for overdose, monitor for black stools, easy bruising, petechiae, excessive bleeding.

Answer 11

Warfarin

Question 12

The adverse effect of this anticoagulant is bleeding.

Answer 12

Warfarin

Question 13

What classification is aspirin.

Answer 13

Antiplatelet

Question 14

What classification is Clopidogrel?

Answer 14

Antiplatelet

Question 15

This medication blocks ADP receptors.

Answer 15

Clopidogrel

Question 16

The MOA for this medication is it inhibits platelet aggregation (MI, ischemia, CVA, TIA coronary stents).

Answer 16

Clopidogrel

Question 17

Nurse interventions for this medication are monitor platelet count, administer orally, monitor for black stools, easy bruising, petechiae, excessive bleeding.

Answer 17

Clopidogrel

Question 18

The adverse effects of this drug are bleeding, thrombotic thrombocytopenic purpura.

Answer 18

Clopidogrel

Question 19

Patient education for this medication are do not take with NSAIDs, discontinue 1 week before surgery, report signs of bleeding, take with food to minimize GI effects.

Answer 19

Clopidogrel

Question 20

Alteplase is what classification of drug?

Answer 20

Thrombolytic

Question 21

The MOA of this medication is that it converts, plasminogen to plasmin.

Answer 21

Alteplase

Question 22

Therapeutic uses for the medication are acute MI, DVT, massive pulmonary embolism, ischemia CVA, reestablishing patency of IV catheters.

Answer 22

Alteplase

Question 23

Nursing interventions for this medication are administer within 3 hours of onset of symptoms, administer aminocaproic acid for uncontrolled severe bleeding, monitor aPTT, PT, INR, Hgb, Hct, bleeding time.

Answer 23

Alteplase

Question 24

Do not take this medication with NSAIDs, report headache or unilateral weakness, report signs of bleeding.

Answer 24

Alteplase

Question 25

The use of protamine sulfate is a nursing intervention for which medications?

Answer 25

Heparin and Enoxaparin

Question 26

What medication blocks activation of vitamin K?

Answer 26

Warfarin

Question 27

For which cardiac medications would you monitor serum potassium levels.

Answer 27

Digoxin and Spironolactone