Nursing Implications
who is the best tutor?
Ally
sorry brain was runing out of questions
Antidote for heparin and antidote for warfarin
warfarin = vitamin K
1st line drug class for hypercholesterolemia
-statins (decrease LDL and triglycerides, and increase HDL)
which diuretic may cause increased levels of serum potassium
what is the normal range of potassium
spironolactone (aldactone)
3.5-5.2
therapeutic range of INR for a patient taking warfarin
2 - 3.5
a patient asks the best time to take their diuretic, the nurse tells them to take it
in the morning
identify what heparin and warfarin belong to : short term vs. long term therapy.
short term : heparin
Longer term: Warfarin
what must be tried before starting antilipemic drugs? and how long must this be tried for?
diet and exercise, 6 months
identify at least two diuretics that we would want to increase our daily intake of foods high in potassium
loop diuretics, thiazides, etc.
What is the therapeutic range for heparin
1.5-2 x the normal level
when preparing to administer heparin, the nurse makes sure to check the dose how?
with another nurse
Reye's syndrome is associated with which anti platelet drug and for what age category?
Aspirin -- kids and teens
when a patient is taking cholestryamine (QUESTRAN), the nurse administers all the pt's other medications ___ hours before cholestryamine, or ___ hours after cholestryamine.
1 hour before, or 4-6 hours after
the nurse will warn and educate a patient about increased blood glucose levels when taking which class of diuretic?
Thiazides
with what meal does the nurse teach to a patient for a new prescription for atorvastatin?
evening meal -- correlates with diurnal rhythm
when administering this IV diuretic, the nurse makes sure to use a filter
Mannitol (Osmitol)
describe how to administer heparin/a LMWH. Make sure to include Angle of injection and where.
2 inches from umbilicus, 90 to 45 degree angle, DO NOT MASSAGE!!
a nurse instructs a patient to increase fiber and water with what class of antilipemics?
bile acid sequestrates
what is the black box warning for furosemide (Lasix)?
Fluid and Electrolyte loss
what class of antilipemics activates lipase to break down cholesterol and increases secretion of cholesterol in the bile
long term therapy with antilipemics may require supplementation of which fat soluble vitamins
A, D, and K
when experiencing warfarin toxicity, the nurse recognizes to discontinue the medication. she realizes it may take ____ this long for the liver to resynthesizes enough clotting factors to reverse warfarin, or if she administers high dose vitamin K, warfarin resistance can occur up to this many days ___?
36-42 hours
up to 7 days
when assessing lab values, the nurse sees myoglobinuria and associates this finding with what class of antilipemic?
statins -- can cause rhabdomyalysis = myoglobinuria
which class of diuretics can increase risk of digoxin toxicity when combined with digoxin?
CAI's
a pt is taking an amino glycoside ABX for pneumonia and will also be taking the loop diuretic furosemide due to fluid overload. the nurse will monitor carefully for which potential effect from the interaction of these two drugs? (nephrotoxicity, ototoxicity, pulmonary fibrosis, hepatotoxicity)
ototoxicity