NUR 641E MIDTERM QUESTIONS AND ANSWERS SET
A+
✔✔Heparin produces rapid anticoagulation by binding with - ✔✔Antithrombin III, and
inhibits factors IXa, Xa, XIIa, and XIII
✔✔Monitor heparin with - ✔✔aPTT (low dose SC heparin [5000 units BID] does not
require aPTT monitoring).
✔✔Warfarin inhibits - ✔✔vitamin K-dependent blood factors II, VII, IX and X; takes
several days for its anticoagulant effect
✔✔Monitor the International Normalized Ratio (INR) when what medication is used -
✔✔Warfarin
✔✔Blood Factor IIa inhibitor (direct thrombin inhibitor): - ✔✔Dabigatran (Pradaxa)
✔✔An antidote to dabigatran-induced hemorrhage is - ✔✔Idarucizumab
✔✔Blood Factor Xa inhibitors include - ✔✔1. Apixaban ( Eliquis)
2. Edoxaban (Savaysa)
3. Rivaroxaban ( Xarelto)
4. Fondaparinux (arixtra)
✔✔Eptifibatide binds to - ✔✔GP11b/IIIa receptor sites in platelets
✔✔One symptom of hemolytic anemia is - ✔✔is jaundice, caused by the destruction of
heme that is greater than the hepatic conjugation and excretion of bilirubin.
✔✔Jaundice can be caused by - ✔✔hemolytic anemia, sickle cell anemia, pancreatitis,
cholecystitis, and multidrug therapy used to treat pulmonary tuberculosis.
, ✔✔Erythpoietin (EPO) is a substance manufactured in the - ✔✔Kidney; the anemia of
chronic renal failure reduces EPO production and should be used to correct the anemia
of chronic renal failure
✔✔Sumatriptan is - ✔✔The only triptan available as an injection as well as tablets and a
nasal spray
✔✔Sumatriptan, Zolmitriptan are - ✔✔The only triptans available in nasal spray
✔✔IV anesthetics - ✔✔Ketamine, Thiopental, Fentanyl, Propofol, and
Dexamedetomidine
✔✔Propofol has a - ✔✔Rapid onsel, does not usually cause nausea, and poor
analgesia
✔✔Propofol can affect what lab - ✔✔Triglycerides, monitor triglyceride levels
✔✔ICU delirium commonly occurs in - ✔✔Elderly patients, is treated with haloperidol,
although dexmedetomidine (Precedex) is the preferred drug for sedation in the elderly
✔✔If respiratory distress is a concern - ✔✔Dexmedetmoidine (Precedex) is the
preferred anesthetic; however it should not be used longer than 24 hours, per the FDA-
approved production information
✔✔selective serotonin reuptake inhibitors (SSRIs) - ✔✔Citalopram (Celexa)
Escitalopram (Lexapro)
Paroxetine (Paxil)
Fluoxetine (Prozac)
Sertaline (Zoloft)
Vortioxetine (Trintellix)
✔✔Side effects of SSRIs include - ✔✔weight gain, decreased sexual libido, and
insomina
✔✔Olanzapine, Aripiprazole, and Ziprasidone - ✔✔Are second-generation
antipsychotics, have the advantage of being available as a long-acting injection for
acute psychotic reactions
✔✔Drugs most effective in alcohol withdrawal are - ✔✔Lorazepam (Ativan),
Phenobarbital; if liver dysfunction is present, lorazepam is the preferred agent because
of its different metabolic pathway than other benzodiazepines
✔✔All Benzodiazepines (diazepam, lorazepam, clonazepam, midazolam) can increase
- ✔✔Falls in the elderly and other people unsteady on their feet
A+
✔✔Heparin produces rapid anticoagulation by binding with - ✔✔Antithrombin III, and
inhibits factors IXa, Xa, XIIa, and XIII
✔✔Monitor heparin with - ✔✔aPTT (low dose SC heparin [5000 units BID] does not
require aPTT monitoring).
✔✔Warfarin inhibits - ✔✔vitamin K-dependent blood factors II, VII, IX and X; takes
several days for its anticoagulant effect
✔✔Monitor the International Normalized Ratio (INR) when what medication is used -
✔✔Warfarin
✔✔Blood Factor IIa inhibitor (direct thrombin inhibitor): - ✔✔Dabigatran (Pradaxa)
✔✔An antidote to dabigatran-induced hemorrhage is - ✔✔Idarucizumab
✔✔Blood Factor Xa inhibitors include - ✔✔1. Apixaban ( Eliquis)
2. Edoxaban (Savaysa)
3. Rivaroxaban ( Xarelto)
4. Fondaparinux (arixtra)
✔✔Eptifibatide binds to - ✔✔GP11b/IIIa receptor sites in platelets
✔✔One symptom of hemolytic anemia is - ✔✔is jaundice, caused by the destruction of
heme that is greater than the hepatic conjugation and excretion of bilirubin.
✔✔Jaundice can be caused by - ✔✔hemolytic anemia, sickle cell anemia, pancreatitis,
cholecystitis, and multidrug therapy used to treat pulmonary tuberculosis.
, ✔✔Erythpoietin (EPO) is a substance manufactured in the - ✔✔Kidney; the anemia of
chronic renal failure reduces EPO production and should be used to correct the anemia
of chronic renal failure
✔✔Sumatriptan is - ✔✔The only triptan available as an injection as well as tablets and a
nasal spray
✔✔Sumatriptan, Zolmitriptan are - ✔✔The only triptans available in nasal spray
✔✔IV anesthetics - ✔✔Ketamine, Thiopental, Fentanyl, Propofol, and
Dexamedetomidine
✔✔Propofol has a - ✔✔Rapid onsel, does not usually cause nausea, and poor
analgesia
✔✔Propofol can affect what lab - ✔✔Triglycerides, monitor triglyceride levels
✔✔ICU delirium commonly occurs in - ✔✔Elderly patients, is treated with haloperidol,
although dexmedetomidine (Precedex) is the preferred drug for sedation in the elderly
✔✔If respiratory distress is a concern - ✔✔Dexmedetmoidine (Precedex) is the
preferred anesthetic; however it should not be used longer than 24 hours, per the FDA-
approved production information
✔✔selective serotonin reuptake inhibitors (SSRIs) - ✔✔Citalopram (Celexa)
Escitalopram (Lexapro)
Paroxetine (Paxil)
Fluoxetine (Prozac)
Sertaline (Zoloft)
Vortioxetine (Trintellix)
✔✔Side effects of SSRIs include - ✔✔weight gain, decreased sexual libido, and
insomina
✔✔Olanzapine, Aripiprazole, and Ziprasidone - ✔✔Are second-generation
antipsychotics, have the advantage of being available as a long-acting injection for
acute psychotic reactions
✔✔Drugs most effective in alcohol withdrawal are - ✔✔Lorazepam (Ativan),
Phenobarbital; if liver dysfunction is present, lorazepam is the preferred agent because
of its different metabolic pathway than other benzodiazepines
✔✔All Benzodiazepines (diazepam, lorazepam, clonazepam, midazolam) can increase
- ✔✔Falls in the elderly and other people unsteady on their feet
