NUR 152 Final- Pharm Questions With Complete Solutions
Anticoagulant: Warfarin (Coumadin)
-PO only
-Narrow therapeutic index= toxicity
-Inhibits vitamin K synthesis and clotting factors.
Interacts with: leafy greens, chomomile, garlic, ginger, licorice
Anticoagulants: Dibigatran
Dibigatran (Pradaxa):
-oral thrombin inhibitor for prevention of strokes in non-valvular
A-fib
-prodrug excreted by kidney
-Bleeding Risk
Anticoagulants: Rivaroxaban (Xarelto)
-used to prevent strokes, DVT, PE
-Check renal function and bleeding
Anticoagulants: Antiplatelets
work to prevent platelet adhesion to site of blood vessel injury.
Antiplatelet-Aspirin
-Indicated for stroke prevention
-C/I in children (Reye's syndrome)
LMWHs are routinely used for...
patients who must stop warfarin for surgery or invasive medical
procedures (bridge therapy)
, What drug can cause "purple toe syndrome"?
Warfarin
When filing a incident report, it should never be put....
in the patient's chart
Do NOT prepare medications if:
-Order is incorrect or illegible
-Label is unclear or illegible
-Meds are discolored or have unexpected sediment or odor
-Meds are expired
3 checks of med administration
1.) Read the MAR and select the proper med from drawer.
2.) Compare med label to MAR
3.) Done at the bedside, recheck label with MAR after
identifying the patient and before administering.
Enteral Medication
Absorbed through GI tract.
Non Parenteral Medications
tablets, caplets, capsules
Transcutaneous
absorbed through skin or other membranes
What 7 things must be on an RX?
-Patients name
-Date/time order was written
Anticoagulant: Warfarin (Coumadin)
-PO only
-Narrow therapeutic index= toxicity
-Inhibits vitamin K synthesis and clotting factors.
Interacts with: leafy greens, chomomile, garlic, ginger, licorice
Anticoagulants: Dibigatran
Dibigatran (Pradaxa):
-oral thrombin inhibitor for prevention of strokes in non-valvular
A-fib
-prodrug excreted by kidney
-Bleeding Risk
Anticoagulants: Rivaroxaban (Xarelto)
-used to prevent strokes, DVT, PE
-Check renal function and bleeding
Anticoagulants: Antiplatelets
work to prevent platelet adhesion to site of blood vessel injury.
Antiplatelet-Aspirin
-Indicated for stroke prevention
-C/I in children (Reye's syndrome)
LMWHs are routinely used for...
patients who must stop warfarin for surgery or invasive medical
procedures (bridge therapy)
, What drug can cause "purple toe syndrome"?
Warfarin
When filing a incident report, it should never be put....
in the patient's chart
Do NOT prepare medications if:
-Order is incorrect or illegible
-Label is unclear or illegible
-Meds are discolored or have unexpected sediment or odor
-Meds are expired
3 checks of med administration
1.) Read the MAR and select the proper med from drawer.
2.) Compare med label to MAR
3.) Done at the bedside, recheck label with MAR after
identifying the patient and before administering.
Enteral Medication
Absorbed through GI tract.
Non Parenteral Medications
tablets, caplets, capsules
Transcutaneous
absorbed through skin or other membranes
What 7 things must be on an RX?
-Patients name
-Date/time order was written
