NURS 334 EVALUATION EXAMS TEST UPDATED
QUESTIONS AND ANSWERS SURE A+
✔✔contraindications of heparin - ✔✔GI ulcerations, severe kidney or liver disease
✔✔administering heparin - ✔✔activated partial thromboplastin time (aPTT), which is
sensitive to changes in blood clotting factors, except factor VII, to regulate heparin
dosage.
✔✔Drugs That Increase the Effects of Heparin - ✔✔alteplase
antithrombin
Cephalosporins
Penicillins (parenteral)
warfarin
✔✔Drugs That Decrease the Effects of Heparin - ✔✔Antihistamines, digoxin, nicotine,
nitroglycerin (IV), tetracycline
✔✔Herbs and Foods That Increase the Effects of Heparin - ✔✔Chamomile, garlic,
ginger, ginkgo, ginseng, high-dose vitamin E
✔✔do you want the pt to have elevated PTT - ✔✔yes
, ✔✔if the PTT is normal do they need more - ✔✔heparin
✔✔normal range of aPTT - ✔✔25-35
✔✔LMW Heparin - ✔✔low molecular weight heparin
✔✔difference of LWM Heparin and heparin - ✔✔LWM heparin composed of shorter
molecules than unfractioned heparin
✔✔therapeutic use of LWM Hep - ✔✔prevention of DVT
✔✔antidote of Heparin - ✔✔protamine sulfate
✔✔LMW Hep facts - ✔✔more expensive
can be used at home
given by IM
dosage based on body weight
✔✔sub q injections of heparin - ✔✔use a thin gauge> 25-27 gauge
short needle
consider how much fat there is
don't apply pressure or massage post injection
given in the abdomen
ice packs decrease constriction
✔✔Vitamin K antagonist - ✔✔warfarin
✔✔warfarin (Coumadin) - ✔✔is the most commonly used oral anticoagulant and is the
prototype vitamin K antagonist.
✔✔warfarin onset - ✔✔delayed
✔✔warfarin given - ✔✔orally
✔✔warfarin blocks what - ✔✔biosynthesis factors
✔✔Is warfarin used for emergencies? - ✔✔no
✔✔how long for therapeutic use for warfarin - ✔✔3-5 days
✔✔can you warfarin be used with heparin - ✔✔yes it will be a faster therapeutic use
✔✔adverse effects of warfarin - ✔✔hemorrhage and additionally, nausea, vomiting,
abdominal pain, alopecia, urticaria, dizziness, and joint or muscle pain may occur.
QUESTIONS AND ANSWERS SURE A+
✔✔contraindications of heparin - ✔✔GI ulcerations, severe kidney or liver disease
✔✔administering heparin - ✔✔activated partial thromboplastin time (aPTT), which is
sensitive to changes in blood clotting factors, except factor VII, to regulate heparin
dosage.
✔✔Drugs That Increase the Effects of Heparin - ✔✔alteplase
antithrombin
Cephalosporins
Penicillins (parenteral)
warfarin
✔✔Drugs That Decrease the Effects of Heparin - ✔✔Antihistamines, digoxin, nicotine,
nitroglycerin (IV), tetracycline
✔✔Herbs and Foods That Increase the Effects of Heparin - ✔✔Chamomile, garlic,
ginger, ginkgo, ginseng, high-dose vitamin E
✔✔do you want the pt to have elevated PTT - ✔✔yes
, ✔✔if the PTT is normal do they need more - ✔✔heparin
✔✔normal range of aPTT - ✔✔25-35
✔✔LMW Heparin - ✔✔low molecular weight heparin
✔✔difference of LWM Heparin and heparin - ✔✔LWM heparin composed of shorter
molecules than unfractioned heparin
✔✔therapeutic use of LWM Hep - ✔✔prevention of DVT
✔✔antidote of Heparin - ✔✔protamine sulfate
✔✔LMW Hep facts - ✔✔more expensive
can be used at home
given by IM
dosage based on body weight
✔✔sub q injections of heparin - ✔✔use a thin gauge> 25-27 gauge
short needle
consider how much fat there is
don't apply pressure or massage post injection
given in the abdomen
ice packs decrease constriction
✔✔Vitamin K antagonist - ✔✔warfarin
✔✔warfarin (Coumadin) - ✔✔is the most commonly used oral anticoagulant and is the
prototype vitamin K antagonist.
✔✔warfarin onset - ✔✔delayed
✔✔warfarin given - ✔✔orally
✔✔warfarin blocks what - ✔✔biosynthesis factors
✔✔Is warfarin used for emergencies? - ✔✔no
✔✔how long for therapeutic use for warfarin - ✔✔3-5 days
✔✔can you warfarin be used with heparin - ✔✔yes it will be a faster therapeutic use
✔✔adverse effects of warfarin - ✔✔hemorrhage and additionally, nausea, vomiting,
abdominal pain, alopecia, urticaria, dizziness, and joint or muscle pain may occur.
