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NR324: Hematologic Disorders Questions and Answers Latest Update

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NR324: Hematologic Disorders Questions
and Answers Latest Update

What are the indications for heparin sodium? Ans: Administer either SQ or
IV.

Antagonist to thrombin and prevents the conversion of fibrinogen to fibrin.

What is the nursing management for heparin sodium? Ans: Assess PTT,
Hgb/Hct

Assess stools for occult blood

Avoid IM injections

What is the antidote for heparin sodium? Ans: Protamine sulfate

What are the indications for warfarin sodium (coumadin)? Ans: Blocks the
formation of prothrombin from vitamin K.

What is the nursing management for warfarin sodium (coumadin)? Ans:
Same as heparin

Given orally

Assess PT/INR

Avoid sudden change in intake of foods high in vitamin K.

What is the antidote for warfarin sodium (coumadin)? Ans: Vitamin K



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What are the indications for antiplatelets? Ans: Clopidogrel (Plavix)

Prasugrel (Effient)

Short term use after cardiac interventions. Reduce risk for thombolytic
stroke for those intolerant to aspirin.

What is the nursing management for antiplatelets? Ans: Given after or with
food.

Monitor CBC every 2 weeks for 3 months.

Monitor for signs of bleeding.

What are the indications for low-molecular-weight heparin? Ans: Enoxaparin
(Lovenox)

Prevention of thrombolytic formation (DVT).

What is the nursing management for low-molecular-weight heparin? Ans:
Monitor for signs of bleeding

Given SQ

Monitor CBC

Use soft toothbrush, avoid cuts

What is hematopoiesis? Ans: Blood cell production.

Occurs in the bone marrow (RBC, WBC, and platelets)

What is leukopenia? Ans: Low white blood cell (WBC) count.

What is neutropenia? Ans: Low neutrophils



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