Coumadin
Name the drug class that Coumadin belongs to and give another name for this drug
Anti-coagulant; warfarin
How long do the effects of propofol last?
This information is just FYI as this was not on the study guide
When used for IV sedation, a single dose of propofol typically wears off within minutes.
What drug class does adenosine belong to?
Anti- dysrhythmic
What drug class does amiodarone belong to?
Antidysrhythmic
What are some tasks that can be delegated to UAPs (unlicensed assistive personnel)?
1. Vitals
2. Accu Check
3. Personal hygiene, skin care, oral care
4. Patient positioning
5. Ambulation
6. Passive/active ROM
7. Measure urine output
8. Suction with no meds like chlorhexidine
Describe the mechanism of action of Coumadin
Decreases synthesis of vitamin K
What is the mechanism of action of propofol
It is a CNS depressant
What is the mechanism of action of adenosine?
Slows conduction through the AV node
What is the mechanism of action of amiodarone?
Increases PR and QT intervals, decreases sinus rate
What are the procedures to follow for blood administration?
1. 2 RN signatures
2. Double-check name, ID #, blood type
3. Baseline vitals
4. Prime with NS
5. Sit with patient for first 15 mins and monitor for reaction
What are some situations where a patient may be taking Coumadin?
Prophylaxis for DVT, MI, stroke, PE
What would propofol be used for?
Anesthesia and sedative for mechanical ventilation
What situations would adenosine be used for?
1. SVT with normal rhythm
What situations would a patient be given amiodarone?
1. A-Fib
2. SVT
Jehovah's Witnesses will not take ___ but will take ___ and ___
Blood products; NS, Epoetin alpha (Procrit)
What is the major S/E for Coumadin and what is the antidote?
Bleeding; vitamin K
What are the S/E of propofol
1. Bradycardia
2. HOTN
What are some S/E of adenosine?
1. Flushing
2. Dyspnea
3. Diaphoresis
4. Angina
What are some S/E of amiodarone?
1. Headache
2. Dizziness
3. HOTN
4. Bradycardia
Early signs of respiratory depression
1. LOC changes
2. Tachycardia
3. Tachypnea
4. Mild HTN
How would you take care of a patient who is taking Coumadin?
1. Monitor PT/INR
2. Monitor for signs of bleeding
3. Educate patient to avoid green leafy intake
How would you take care of a patient who has been given propofol?
1. Monitor EKG changes
2. Monitor LOC
How would you take care of a patient who has been given adenosine?
1. Assess BP
2. Assess pulse
3. Assess rhythm
4. Monitor EKG
What would you need to monitor for a patient who has been given amiodarone?
EKG
Late signs of respiratory depression
1. Retractions (IWOB)
2 Cyanosis
3. HOTN