Term
| Best conflict resolution style? |
|
Definition
|
|
Term
| Difference b/w intra/inter personal and group? |
|
Definition
Intrapersonal- conflict from within
Interpersonal- conflict b/w 2 or more people
Intergroup- Department |
|
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Term
|
Definition
1. Basic hygiene
2. Reports to an LPN/RN
3.ADLS
4.Vital signs, I/O
5.Maintaining safe env. |
|
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Term
|
Definition
1. Reinforces teaching from RN/MD
2. Care for STABLE pt.
3.Collect data but not assess
4.Calculates/monitors IV rate
5.Administer IVPB med
6.Monitor IV fluids |
|
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Term
|
Definition
Nursing process
Client education
Care for unstable clients |
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Term
|
Definition
Person
Task
Direction
supervision
circumstance |
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Term
|
Definition
| right to make one's own decision |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
|
|
Term
| what does giving general consent mean? |
|
Definition
|
|
Term
| What is informed consent? |
|
Definition
| Document that is signed after all pertinent information is given to pt for a procedure/surgery |
|
|
Term
| what is the nurses role with informed consent? |
|
Definition
| witness the client signature and ensure the provider gave all necessary information regarding procedure |
|
|
Term
| what are unintentional torts? |
|
Definition
|
|
Term
| what are intentional torts? |
|
Definition
| assault, battery, false imprisonment |
|
|
Term
| What protects the nurse from practicing outside of their place of employment to help someone in need? |
|
Definition
|
|
Term
| What are the colored tags for a mass casualty? |
|
Definition
RED: Immediate
YELLOW: Major injuries but can delay 30min/2hr
GREEN: Minor injuries that do not require immediate tx. Can delay 2-4hr
BLACK: Expected death |
|
|
Term
| What to do with admission during disaster? |
|
Definition
| Postpone them along with elective procedures |
|
|
Term
| What to do with stable clients during disaster? |
|
Definition
| Transfer or discharge them prematurely first, especially the ones who can ambulate |
|
|
Term
| Asian American cultural healing practice? |
|
Definition
| They believe yin/yang to restore balance |
|
|
Term
| Hispanic/latino cultural healing practice? |
|
Definition
| Herbal teas and soup are thought to speed up healing process |
|
|
Term
| Native American cultural healing practice? |
|
Definition
| Medicine man wearing leather bag around neck, contents are considered 'sacred' and to not ask about it |
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Term
|
Definition
|
|
Term
| 6 rights of medicine administration? |
|
Definition
| client, time, route, dosage, drug, & documentation |
|
|
Term
| What is the difference b/w blood and urine levels when drawing them up to see effectiveness of the drug? |
|
Definition
Blood levels-- are more accurate and are used to prevent drug toxicity and to see noncompliance with drug regimen
Urine testing-- Presence of drug in urine over several days |
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|
Term
| Oral intake of drug can be tested after how long after administration? |
|
Definition
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|
Term
| IM injection can be tested after how long after administration? |
|
Definition
|
|
Term
| IV drugs can be tested how long after administration? |
|
Definition
|
|
Term
| What is the 'trough level'? |
|
Definition
| The lowest concentration or residual level and are usually obtained within 15 min prior to next admin. of next scheduled dose |
|
|
Term
| What does it mean to have a culture and sensitivity done? |
|
Definition
| To obtain a specimen from the pt and test the pathogen that grow to specific antibiotics to test sensitivity |
|
|
Term
| When cultures cannot be drawn up before antibiotic therapy, what should be given? |
|
Definition
| Broad spectrum antibiotic therapy |
|
|
Term
| How should an RN administer medication through IV tubing that is being given blood? |
|
Definition
| NEVER, get separate tubing |
|
|
Term
| How should the RN fix an infiltrated IV? |
|
Definition
| Stop infusion, remove catheter, elevate and apply cold compress to extremity |
|
|
Term
| How should the RN fix extravasation? |
|
Definition
| Stop infusion, aspirate drug is possible, apply cold compress and document IV site |
|
|
Term
| How should the RN fix phlebitis? |
|
Definition
Rotate sites every 72-96 hr
Stop infusion, remove catheter, apply heat compress |
|
|
Term
| How should the RN fix a catheter embolus? |
|
Definition
| Apply tourniquet high on extremity and prepare for X-ray removal |
|
|
Term
| Whats the best way to prevent a lumen occlusion? |
|
Definition
| Flush IV with 10 mL NS before, after, and between each medication |
|
|
Term
| If a client becomes septic, what should the RN do if it was during a central line insertion? |
|
Definition
| Change entire infusion system, notify provider, obtain cultures, and give antibioics |
|
|
Term
| What type solution is TPN? |
|
Definition
|
|
Term
| What is in TPN and how is it given? |
|
Definition
| Dextrose, proteins, electrolytes, minerals, trace elements, and insulin will be provided based on clients needs. Administered through PICC, subclavian, IJ |
|
|
Term
| what should the RN do before hanging TPN? |
|
Definition
|
|
Term
| how often should the RN check blood glucose with TPN? |
|
Definition
|
|
Term
| how often should the dressing be and IV tubing be changed? |
|
Definition
Dressing- 48-72 hr
IV tubing- 24 hr |
|
|
Term
| If TPN is not available, what should the RN administer? |
|
Definition
| 10% dextrose in NS to prevent hypoglycemia |
|
|
Term
| Antidote for acetaminophen? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Antidote for heparin and enoxaparin? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Antidote for magnesium sulfate? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
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Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| When a client is taking antihypertensives, what should be some good teaching points? |
|
Definition
Avoid hot tubs
Do not DC abruptly
Monitor Ortho HPN
Take same time each day |
|
|
Term
| Mechanism of action for ACE inhibitor? |
|
Definition
| Blocks angiotensin I to angiotensin II |
|
|
Term
| Examples of ACE inhibitors? |
|
Definition
Captopril
Enalapril
Lisinopril |
|
|
Term
| Therapeutic usage for ACE inhibitors? |
|
Definition
| To tx HF, MI, HPN, and diabetic neuopathy |
|
|
Term
| When using a ACE inhibitor with a diuretic, what should the RN be monitoring? |
|
Definition
|
|
Term
| Side effects of ACE inhibitors? |
|
Definition
A-Angioedema
C-Constipation
E-Erectile dysfunction
*persistent nonproductive cough* |
|
|
Term
| What should the RN do if angioedema occurs while on ACE inhibitors? |
|
Definition
| Administer epinephrine 0.5 mL sub Q |
|
|
Term
| Mechanism of action for Ca channel blockers? |
|
Definition
| Slows movement of Ca into smooth muscle resulting in vasodilation causing a decrease in BP |
|
|
Term
|
Definition
Amlodipine
Verapamil
Nifedipine
Diltiazem |
|
|
Term
| Therapeutic usage for Ca channel blocker? |
|
Definition
|
|
Term
| When would Ca channel blockers be contraindicated? |
|
Definition
| Someone with HF, Heart block, or bradycardia |
|
|
Term
| A client sees grapefruit juice on his breakfast tray in the AM while taking his Ca channel blocker, what should they do? |
|
Definition
| Choose different juice because grapefruit causes toxic effects |
|
|
Term
| Side effects from Ca channel blockers? |
|
Definition
Constipation
Peripheral edema
Reflex tachycardia |
|
|
Term
| What is Addisons disease? |
|
Definition
| An endocrine disorder that does not produce enough cortisol and in some cases aldosterone |
|
|
Term
| S/sx of Addisons disease? |
|
Definition
Weight loss
Low BP
Hyperpigmentation (bronze color)
Hypocalcemia (muscle weakness)
Hypoglycemia
Hyperkalemia |
|
|
Term
| Mechanism of action for alpha adrenergic blockers? |
|
Definition
| Inhibit alpha1 receptors resulting in peripheral arterial and venous dilation that lowers BP |
|
|
Term
| Examples of alpha adrenergic blockers? |
|
Definition
Prazosin
Doxazosin mesylate |
|
|
Term
| When taking alpha adrenergic blockers, what should the pt we concerned about if they are on other anti-hypertensives? |
|
Definition
| Beta blockers/ diuretics can increase the risk for syncope and hypotension |
|
|
Term
| When is the best time to take alpha adrenergic blockers? |
|
Definition
| At night to minimize the effects of hypotension |
|
|
Term
|
Definition
| Centrally acting alpha adrenergic agonist (alpha 2 receptors) to decrease peripheral resistance, heart rate, systolic/diastolic pressure |
|
|
Term
| Mechanism of action with beta blockers? |
|
Definition
| Inhibits the receptors sites in the heart to decrease CO, cardiac excitability, myocardial O2 demand; also decreasing renin from the kidneys to decrease BP |
|
|
Term
| Examples of beta blockers? |
|
Definition
Metoprolol
Atenolol
Propranolol
Nadolol
Labetalol |
|
|
Term
| Therapeutic usage for beta blockers? |
|
Definition
|
|
Term
| When are beta blockers contraindicated? |
|
Definition
|
|
Term
| A pt with a BP of less than 100 mmHg and a pulse less than 60, should do what with their morning beta blocker? |
|
Definition
| With hold it, its unsafe to take with BP that low |
|
|
Term
| Mechanism of action for nitroglycerin and hydralazine? |
|
Definition
| Vasodilation to decrease BP very rapidly |
|
|
Term
| An RN should be careful giving who nitro? |
|
Definition
Older adults
hepatic/renal disease patients |
|
|
Term
| How should the RN monitor someone on nitro? |
|
Definition
| Continuous EKG and BP monitoring |
|
|
Term
|
Definition
Helps to increase the force and myocardial contractions to improve stroke volume and CO
Also helps to slow down conduction rate to increase ventricular filling |
|
|
Term
| Who would benefit from using digoxin? |
|
Definition
|
|
Term
| How might potassium play a role with digoxin? |
|
Definition
| Hypokalmeia makes the effects of digoxin increase, so using loop/HCTZ will cause toxicity |
|
|
Term
| What might someone see with digoxin toxicity? |
|
Definition
GI- N, V
CNS- Halo, fatigue, weakness
Dysrrhythmias |
|
|
Term
| What should the RN use for a dysrrhthmia as seen with digoxin? |
|
Definition
|
|
Term
| Bradycardia can be treated with______, as seen with digoxin? |
|
Definition
|
|
Term
| How often can the transdermal patch be on that contains nitroglycerin? |
|
Definition
|
|
Term
| Do not take nitroglycerin with what? B/c it can cause life threatening hypotension |
|
Definition
| Erectile dysfunction med (silendifil) |
|
|
Term
| If angina does not go away after the first dose and waited 5 minutes, what should you do? |
|
Definition
| Call 911 then take 2nd dose |
|
|
Term
| What kind of container should nitro be kept in? |
|
Definition
|
|
Term
| How often should you replace nitro tablets? |
|
Definition
|
|
Term
|
Definition
| Slows conduction of heart and helps treat SVT |
|
|
Term
| When giving IV adenosine, how fast should you push it? |
|
Definition
| 1-2 seconds and flush immediately |
|
|
Term
| What is given for the treatment of V- fib? |
|
Definition
|
|
Term
| Side effects of amiodarone? |
|
Definition
Cardiogenic shock
Bradycardia |
|
|
Term
| Amiodarone is NOT compatible with what medication? |
|
Definition
|
|
Term
|
Definition
| Helps treat bradycardia and dries up secretions (anticholinergic) |
|
|
Term
| Why should I/O be monitored with atropine? |
|
Definition
| Urinary retention and constipation are side effects |
|
|
Term
| What are some examples of antilipidemic agents? |
|
Definition
|
|
Term
| what are some adverse effects of antilipidemic agents? |
|
Definition
Muscle aches
Rhabdomyelosis
Peripheral neuropathy
Hepatotoxicity |
|
|
Term
| What kind of diet should someone who is taking antilipidemic agents be on? |
|
Definition
|
|
Term
| When should -statin drugs be taken? |
|
Definition
| Evening (cholesterol synthesis increases) |
|
|
Term
| Someone who is taking atorvostatin should not drink what? |
|
Definition
|
|
Term
| What is the sequence for taking a beta 2 agonist and glucocorticoid? |
|
Definition
| Beta 2 first then steroid |
|
|
Term
| What is a short acting beta 2 agonist that helps with bronchospasms? |
|
Definition
|
|
Term
| For long term control of asthma, what is better to use? |
|
Definition
|
|
Term
| Oral long term usage for asthma control would be? |
|
Definition
|
|
Term
| When should beta 2 agonists be cautioned? |
|
Definition
HPN
Angina
Hyperthyroidism
DM |
|
|
Term
| Adverse effects from beta 2 agonists? |
|
Definition
|
|
Term
| What is the mechanism of methylxanthines? |
|
Definition
| Relax smooth muscle, similar to beta 2 agonist |
|
|
Term
| Examples of methylxanthines? |
|
Definition
Aminophylline
Theophylline |
|
|
Term
| Who should not take methylxanthines with this problem? |
|
Definition
|
|
Term
| If taken oral oral theophylline and you feel s/sx of toxicity, what should you take? |
|
Definition
|
|
Term
| Ipratropium and tiotropium are examples of what drug class? |
|
Definition
|
|
Term
| What do inhaled anticholinergics help treat? |
|
Definition
COPD
Bronchospasm
Exercise induced asthma |
|
|
Term
| Be careful to explain that inhaled anticholinergics are cautioned with someone with what? |
|
Definition
|
|
Term
| If you are having an acute episode of bronchospasm, what should you use rather than not? |
|
Definition
USE: Albuterol
NOT: Ipratropium |
|
|
Term
| Inhaled anticholinergics are great to use for bronchodilation but need to have EXTREME CAUTION when using with what condition? |
|
Definition
| Narrow angle glaucoma and BPH |
|
|
Term
| How long does the intended therapeutic effects usually take with Ipratropium? |
|
Definition
|
|
Term
| If stopping glucocorticoids abruptly, what could happen? |
|
Definition
|
|
Term
| When taking steroids, how should the dose be titrated? |
|
Definition
| High does initially, then tapered to lower dose as the regimen continues |
|
|
Term
| What is the problem with taking NSAIDS and steroids together? |
|
Definition
| They damage the lining of your stomach and can increase your risk of getting gastric/ duodenal ulcers, so be sure to take with food |
|
|
Term
| What can be prescribed to prevent/ treat ulcers that can/will come from NSAID and steroid usage? |
|
Definition
| PPI (proton pump inhibitor) (Prilosec OTC) |
|
|
Term
|
Definition
| They suppress the cough reflex in the CNS |
|
|
Term
| Examples of antitussives? |
|
Definition
|
|
Term
|
Definition
| Increase the mucous production to increase coughing production |
|
|
Term
| Examples of expectorants? |
|
Definition
|
|
Term
|
Definition
They enhance the flow of mucous up the resp. tract to help with excretion
Often pair with an expectorant (guaifenesin) |
|
|
Term
| When would a mucolytic be appropriate? |
|
Definition
| Cystic Fibrosis b/c of the copious secretions that are being made |
|
|
Term
| What are some examples of mucolytics? |
|
Definition
Hypertonic saline
Acetylcysteine |
|
|
Term
| A 2 year old who needs to have mucous excreted would benefit from having what type of mucolytic? |
|
Definition
|
|
Term
| Side effects from antitussives/ expectorants/mucolytics? |
|
Definition
Drowsiness
Constipation (hydrocodone)
Dizziness
Aspiration |
|
|
Term
| What are some decongestants that are commonly used? |
|
Definition
Phenylnepherine
Pseudoephedrine
Naphozoline |
|
|
Term
| What is the difference between alpha 1 and 2 receptors? |
|
Definition
Alpha 1- Smooth muscle cells in blood vessels constrict thus increases BP and helping cut off blood flow (decongestant)
Alpha 2- Located on blood vessels but help with dilation thus lowering BP |
|
|
Term
| What is the action of phenylnephrine and pseudoephendrine? |
|
Definition
| The stimulate alpha 1 receptors to constrict nasal blood vessels to relieve pressure and inflammation |
|
|
Term
| When should someone use decongestants? |
|
Definition
Allergic rhinitis
Sinusitis
Common cold |
|
|
Term
| What do antihistamines do? |
|
Definition
| Decrease allergic response by competing for histamine receptor sites |
|
|
Term
| What are some examples of antihistamines? |
|
Definition
Diphenhydramine
Loratadine
Cetirizine
Fexofenadine |
|
|
Term
| How long should you take pseudoephedrine? |
|
Definition
|
|
Term
| When should someone take antihistamines/ decongestants? |
|
Definition
|
|
Term
| Oral hypoglycemics are not given to who? |
|
Definition
|
|
Term
|
Definition
| Reduces gluconeogenesis and allows muscle tissue to become more sensitive to insulin |
|
|
Term
| When is taking metformin contraindicated? |
|
Definition
48 hours before and after contrast dye is administered
Severe infection, hypoxic conditions and shock |
|
|
Term
| How does sitagliptan work? |
|
Definition
| Lowers gastric emptying and promotes insulin production and decreases glucagon production |
|
|
Term
| What is an example of rapid acting insulin? |
|
Definition
|
|
Term
| Onset, peak, and duration of rapid acting insulin? |
|
Definition
Onset: 15-30 min
Peak: 0.5-2.5 hr
Duration: 3-6 hr |
|
|
Term
| Example of short acting insulin? |
|
Definition
|
|
Term
| Onset, peak, and duration of short acting insulin? |
|
Definition
Onset:0.5-1 hr
Peak: 1-5 hr
Duration: 6-10 hr |
|
|
Term
| Example of intermediate insulin? |
|
Definition
|
|
Term
| Onset, peak, duration of NPH insulin? |
|
Definition
Onset: 1-2 hr
Peak: 6-14 hr
Duration: 16-24 hr |
|
|
Term
| Example of long acting insulin? |
|
Definition
|
|
Term
| Onset, peak, duration of glargine? |
|
Definition
Onset: 70 min
Peak: N/A
Duration: 24 hr |
|
|
Term
| How would the RN properly draw up insulin? |
|
Definition
| Inject air in the NPH 1st then pressurize the regular. Draw up regular 1st then NPH |
|
|
Term
| What insulin is given IV with NS? |
|
Definition
|
|
Term
| When should glargine be administered? |
|
Definition
|
|
Term
| Why should the RN instruct to alter sites on insulin injection? |
|
Definition
| Lipodystrophy, the sudden loss of adipose tissue at the sites on injection |
|
|
Term
| Glucagon should not be administered with what? |
|
Definition
| sodium chloride or dextrose solution |
|
|
Term
| Whats a common side effect from glucagon? |
|
Definition
|
|
Term
| What does levothyroxine do in the body? |
|
Definition
| Stimulates the metabolism of all body systems by accelerating the rate of cellular oxygenation |
|
|
Term
| what type coma is normally associated with severe hypothyroidism? |
|
Definition
| Myxedema coma which is characterised by decreased mental state, hypothermia |
|
|
Term
| Side effects of levothyroxine? Think about what it is trying to treat |
|
Definition
| Tachycardia, heat intolerance, diarrhea, restlessness, insomnia, decreased bone density |
|
|
Term
| How are levothyroxine doses started? |
|
Definition
| Low then slowly increases. Be sure to monitor lab values |
|
|
Term
| Whats an example of a thyroid hormone antagonist? |
|
Definition
|
|
Term
| What does Methamazole do? |
|
Definition
| Inhibits synthesis of T3 and T4 |
|
|
Term
| What helps decrease thyroid hormone production? |
|
Definition
|
|
Term
| What is the thyroid storm? How is it treated? |
|
Definition
Increased BP, Pulse, and body temperature can go dangerously high and can be life threatening.
Tx: Methimazole |
|
|
Term
| Someone who is going for a thyroidectomy should be given what to avoid adverse effects? |
|
Definition
|
|
Term
| When is hyperthyroid medication contraindicated? |
|
Definition
|
|
Term
| Why should someone be cautious about the administration of methimazole when going to have radioactive iodine therapy? |
|
Definition
| Sudden decrease in T3 and T4 hormones |
|
|
Term
| Common side effects of methimazole (hyperthyroid med)? |
|
Definition
GI upset
Jaundice
Agranulocytosis |
|
|
Term
| How many liters of fluid should be ingested while taking methimazole? |
|
Definition
|
|
Term
|
Definition
| Growth hormone to help tx growth hormone deficiencies and Turner's syndrome |
|
|
Term
| When is somatropin going to be discontinued when taking it? |
|
Definition
| Before epiphyseal plate closure |
|
|
Term
| How is somatropin administered? |
|
Definition
|
|
Term
| What is something to watch when taking growth hormones? |
|
Definition
|
|
Term
| What are some examples of ADH hormones? |
|
Definition
|
|
Term
| What does desmopressin help treat besides being a ADH hormone? |
|
Definition
|
|
Term
| When is desmopressin contraindicated? |
|
Definition
Possible MI
Chronic nephrosis |
|
|
Term
| Side effects of desmopressin? |
|
Definition
Hyponatremia
Seizures
Coma
Water intoxication |
|
|
Term
| How long should RBCs be infused for? |
|
Definition
| 2-4 hr, discard after 4 hr |
|
|
Term
| How long should platelets be infused for? |
|
Definition
|
|
Term
| Why would someone need a platelet infusion? |
|
Definition
Active bleeding
Low platelet count
Bone marrow suppression
Aplastic anemia |
|
|
Term
| How long should FFP be infused for? |
|
Definition
|
|
Term
| What is the purpose for receiving FFP? |
|
Definition
Replace clotting factors
Shock
Burns
Reverse the effects of warfarin |
|
|
Term
| What should be identified by the RN before blood transfusion? |
|
Definition
| Client ID, name, and blood type |
|
|
Term
| After doing your check for blood transfusion with another RN what should you do? |
|
Definition
| Get baseline vitals including temp |
|
|
Term
| What type of fluid should be used to flush the tubing prior to transfusing blood? |
|
Definition
|
|
Term
| If anaphylactic reaction occurs when transfusing blood, what should the RN do? |
|
Definition
Stop infusion
Infuse 0.9% NS
Notify provider |
|
|
Term
| When would epoetin alpha be administered? |
|
Definition
Anemia R/T chronic kidney disease
Chemotherapy
*Anytime the RBCs need to be stimulated* |
|
|
Term
| Side effect of epoetin alpha? |
|
Definition
|
|
Term
| How is epoetin alpha administered? |
|
Definition
|
|
Term
|
Definition
| Stimulates WBC production to help with neutropenic patients |
|
|
Term
| Side effect of filgrastim? |
|
Definition
|
|
Term
| What is given to stimulate platelet production? |
|
Definition
|
|
Term
| How should oral iron preparations be ingested? |
|
Definition
| Mixed with juice and drank through a straw, stains teeth so be sure to rinse mouth |
|
|
Term
| What encourages the absorption of iron? |
|
Definition
Vitamin C
Cereals that are fortified with vitamin C are great to use as well |
|
|
Term
| What should the RN be careful to consider about taking oral iron preparations? |
|
Definition
| Avoid antacids, coffee, tea, DAIRY (GI upset), or whole grain bread for 1 hr after administration |
|
|
Term
| How should stools look while taking iron? |
|
Definition
|
|
Term
| Iron dextran is given how? why? |
|
Definition
| Z-track (IM) method and is for people who cannot tolerate oral iron, possibly due to taste or dysphasia |
|
|
Term
| What size needle is used for the Z- track method? |
|
Definition
|
|
Term
| Where should the Z-track method never be done at? |
|
Definition
| Deltoid muscle and never massage injection site |
|
|
Term
| What should the RN do for the initial dose of IV iron preparation? |
|
Definition
| Give 25 mg over 5 min and observe pt for 15 min then slowly administer the rest |
|
|
Term
| What is heparin used for? |
|
Definition
| Inhibit the cascade of clotting factors to prevent a clot from forming (anticoagulant) |
|
|
Term
| Heparin and enoxaparin are indicated for? |
|
Definition
Stroke
MI
DIC
PE
Cardiac cath
DVT |
|
|
Term
| Warfarin is indicated when? |
|
Definition
Thrombus formation with someone who has A-fib
Prevent TIA (transient ischemic attacks) |
|
|
Term
| What are anticoagulants incompatible with? |
|
Definition
| With any bicarbonate base |
|
|
Term
| Warfarin is contraindicated when? |
|
Definition
Vit. K deficiency
Thrombocytopenia
Liver disease
Alcoholism
Pregnancy |
|
|
Term
| Routes for anticoagulants and which ones go where? |
|
Definition
Parenteral- Heparin and enoxaparin
Oral- Warfarin |
|
|
Term
| What lab should be watched very carefully when taking heparin? |
|
Definition
| aPTT every 4-6 hrs with IV administration |
|
|
Term
| How many inches away from umbilicus should you administer parenteral herparin or enoxaparin? |
|
Definition
|
|
Term
|
Definition
| Protomine sulfate (1mg neutralizes 100 units of heparin) |
|
|
Term
| What labs should be watched for oral warfarin? |
|
Definition
|
|
Term
| How long is the bleeding risk after discontinuation of warfarin? |
|
Definition
|
|
Term
| Antidote for warfarin toxicity? |
|
Definition
|
|
Term
| What herbal supp. may increase risk of bleeding while taking warfarin? |
|
Definition
|
|
Term
| What are some examples of anti-platelet medications? |
|
Definition
Clopidogrol
Aspirin
Dipyridamole |
|
|
Term
| What is intermittent claudication? |
|
Definition
| Cramping of the legs usually from exercise from obstruction of the arteries can be treated with antiplatelet (ASA) |
|
|
Term
| Someone who is thrombopenic and has a peptic ulcer should not be on what? why? |
|
Definition
Antiplatelet (ASA/clopidogrel)
Because of the risk of hemorrhage |
|
|
Term
| What should the pt report to the RN when taking ASA/clopidogrel? |
|
Definition
|
|
Term
| How do thrombolytic medications work? |
|
Definition
| Converting plasminogen to plasmin which destroys fibrinogen and some clotting factors |
|
|
Term
| Examples of thrombolytic medications? |
|
Definition
-plase drus
Alteplase
Reteplase |
|
|
Term
| What is the tx for Addison disease? |
|
Definition
Saline
IV corticosteroid
Dextrose |
|
|
