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Pharmacology > Week 7: Chapter 20 Study Guide Questions > Flashcards

Week 7: Chapter 20 Study Guide Questions Flashcards

1
Q

What is the category of the drug: darbepoetin alfa (Aransep)

A

Colony-Stimulating Factor

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2
Q

What is the category of the drug: warfarin (Coumadin)

A

Clotting Factor Stimulus

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3
Q

What is the category of the drug: ticlopidine (Ticlid)

A

Antiplatelet

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4
Q

What is the category of the drug: t-PA

A

Thrombolytic

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5
Q

What is the category of the drug: clopidogrel (Plavix)

A

Antiplatelet

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6
Q

What is the category of the drug: tenecteplase (TNKase)

A

Thrombolytic

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7
Q

What is the category of the drug: tirofiban (Aggrastat)

A

Antiplatelet

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8
Q

What is the category of the drug: reteplase (Retavase)

A

Thrombolytic

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9
Q

What is the category of the drug: epoetin alfa (Epogen, Procrit)

A

Colony-stimulating factors

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10
Q

What is the category of the drug: eptifibatide (Integrilin)

A

Antiplatelet

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11
Q

What is the category of the drug: heparin

A

Thrombin inhibitor (Indirect)

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12
Q

What is the category of the drug: oprelvekin (Neumega)

A

Colony-stimulating factor

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13
Q

What is the category of the drug: aspirin

A

Antiplatelet

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14
Q

What is the category of the drug: enoxaparin (Lovenox)

A

Thrombin inhibitor (indirect)

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15
Q

Clotting factor synthesis inhibitors (warfarin {Coumadin} decrease the production of clotting factors in the ___________________.

A

Liver, specifically vitamin K dependent clotting factors

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16
Q

_____________ drugs break down fibrin in an already formed clot.

A

Fibrinolytic { lytic (loosen) }

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17
Q

Thrombin inhibitors block the action of _________ which converts _________ to __________ to form clots.

A

Thrombin
Fibrinogen
Fibrin

18
Q

_____________ are drugs that interfere with blood clotting, preventing the activation of platelets.

A

Antiplatelet

19
Q

Travels through the bloodstream and blocks vessels:

A

Embolus

20
Q

Process by which blood clots form:

A

Coagulation

21
Q

Protein essence of a blood clot:

A

Fibrin

22
Q

Blood clot in a vessel or the heart:

A

Thrombus

23
Q

Profuse bleeding:

A

Hemorrhage

24
Q

Converts fibrinogen to fibrin:

A

Thrombin

25
Q

Blood test used to report results of warfarin anticoagulation:

A

INR

26
Q

_______________ combine with proteins in the plasma to stick together and form a clot.

A

Platelets

27
Q

Vitamin K is the antidote for _______________.

A

warfarin (Coumadin)

28
Q

Rubbing the injection side after administering subcutaneous heparin is likely to cause:

A

Bruising

29
Q

Colony-stimulating factors increase the patients risk for hypertension, blood clots, strokes, and hear attacks because of increased blood __________ and __________ retention.

A

Viscosity

fluid

30
Q

When a pt is taking an anticoagulant medication, a careful medication history review is completed. Which OTC and herbal medications could cause additional bleeding?

A
  1. Aspirin
  2. Ginkgo biloba
  3. St. Johns Wort
31
Q

A pt who is pregnant has a venous thromboembolism. Which medication will most likely be prescribed?

A

Heparin

32
Q

Which statement best demonstrates a patients understanding of how warfarin (Coumadin) works to help after heart valve replacement surgery?

A
  1. It will make me bruise and bleed more easily, so I must be careful
  2. New clots will not form as easily in my heart valves
  3. Any clots that I still have will not get any bigger
33
Q

Which lab tests are used to monitor the effectiveness of heparin administration to a pt who has had a venous thromboembolism (VTE)?

A

Activated partial thromboplastin time (aPPT)

34
Q

A pt who is taking warfarin (Coumadin) therapy is instructed to avoid which foods?

A
  1. Spinach
  2. Kale
  3. Broccoli
35
Q

A pt on renal dialysis who is anemic is most likely to be administered which medication?

A

Epoetin alfa (Epogen, Procrit)

36
Q

A pt who is taking a clotting factor synthesis inhibitor such as warfarin (Coumadin) should be monitored for which serious A/E?

A

Head aches that are severe and will not go away

37
Q

What are important lifespan considerations for an older adult who is taking warfarin (Coumadin)?

A
  1. Aspirin increases the action of warfarin
  2. Older adults are more likely to develop bruises and bleeding
  3. Older adults need more frequent monitoring of INR
38
Q

Which important instruction should be included when teaching patients about colony-stimulating factor therapy?

A

Remind the patient to keep scheduled lab appointments for blood tests to monitor therapy

39
Q

Several pts are receiving heparin. Which medication must be available on the unit as an antidote?

A

Protamine sulfate

40
Q

Before administering a thrombolytic drug, the nurse assesses for which absolute contraindication?

A

Recent spinal or cerebral surgery

41
Q

Diet instructions have been provided to a pt who will be taking warfarin (Coumadin) for several weeks. Which menu selection indicates the need for further instructions?

A

Spinach salad with bacon dressing

42
Q

A pt has recently been given an intravenous injection of heparin. Which vital sign changes should be reported as signs of a hemorrhage?

A

Decreased blood pressure and increased pulse

Pharmacology (55 decks)

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