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Exam (elaborations)

RCIS- Pharmacology with perfect answers 2024

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In the cath lab, what medications when combined with routine nitroglycerine can lead to severe hypotension? a. NPH insulin b. ARBs (losartan, candesartan) c. NSAIDs (ibuprofen, naproxen) d. Sildenafil (viagra) and vardenafil (levitra) correct answersd. Sildenafil (viagra) and vardenafil (levitra) For patients in atrial fibrillation, the therapeutic range of Coumadin is an INR of: a. 0.8-1.5 b. 2.0-3.0 c. 12-15 sec d. 200-300 sec correct answersb. 2.0-3.0 At the beginning of a complex PTCA/stent case on a 200lb man, 10,000 units of unfractionated heparin were administered. One hour into the procedure the ACT is measured at 285 sec. The physician will probably order: a. no more anticoagulant b. 5000 units Heparin IV c. 10,000 units Heparin IV d. 10mg Protamine IV correct answersa. no more anticoagulant Your 55kg patient comes to the cath lab premedicated with 300mg Clopidogrel (Plavix) for a PCI. The physician orders 2000 units of unfractionated Heparin IV. To check for the proper level of anticoagulation draw the first ACT: a. just before the heparin is given b. 5 min after the heparin is given c. 1 hour after the heparin is given d. at end of case, prior to pulling the sheath correct answersb. 5 min after the heparin is given What platelet receptor site does abciximab (ReoPro) block? a. plasminogen (t-PA) b. alpha 2-antiplasmin c. glycoprotein IIb/IIIa d. thromboxane TXA2 correct answersc. glycoprotein IIb/IIIa

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