Meds--Hematologic

Question 1

Blood products and purpose

Answer 1

Whole b.--Vol replacement
Packed RBC
Plt--Thrombocytopenia
FFP--Clotting factor replacement
Albumin--Vol expander

Question 2

Blood admin

Answer 2

18+ guage

Infuse w/in 4 hrs

Question 3

Hematopoietic growth factors–Funct, Types

Answer 3

Funct: stim marrow to synth specific b. cells

• (epoetin alfa)–stim RBC product
• (-filgrastim)–stim WBC product
• (oprelvekin)–stim plt product

Question 4

Fe- preparations–Types, Nx considerations

Answer 4

PO–dilute, admin w/ straw to avoid teeth contact

IV–z-tract

Question 5

Anticoagulants

Answer 5

(heparin) –IV/SubQ–reversal: (protamine sulfate)
(enoxaparin) –SubQ
(warfarin) –monitor PT/INR–contraindications: liver dis
(dabigatran) –Tx: nonvalvular A-fib

Question 6

Antiplts

Answer 6

(aspirin)

clopidogrel

Question 7

Thrombolytics–Nx considerations

Answer 7

(alteplase = tPA)

Nx: w/in 4-6 hrs S/S onset