NUR2474 / NUR 2474 Pharmacology for Professional Nursing Rasmussen Exam 2 Review | Rated A | Latest 2022/ 2023

NUR2474 / NUR 2474 Pharmacology for Professional Nursing Rasmussen Exam 2 Review | Rated A | Latest 2022/ 2023 | 1. what medical teachings should be included for patients taking warfarin or heparin or enoxaparin ~ wear medic alert bracelet ~ report blood in urine or black/tarry stools ~ DO NOT start any meds, even OTCs, before speaking to provider 2. If a patient gets too much fluid, would you expect your hemoglobin to go up or down ~ it would go down, fluid would be diluting blood 3. if a person is dehydrated would hemoglobin be high or low ~ higher, blood is more concentrated 4. what clotting factor is missing in hemophilia A? ~ factor 8/factor VIII (think 8 and A start with same sound) 5. what clotting factor is missing in hemophilia B? ~ factor 9/factor IX 6. when should you hold filgrastim? ~ spleen pain! you can premedicate with tylenol for bone pain 7. Filgrastim (Neupogen) class and action ~ leukopoietic growth factor identical in structure and action to human granulocyte colonystim. factor (GCSF) stimulates the body to make neutrophils! 8. what is angioedema, and how would we treat? ~ swelling of face/mouth/throat, could lead to anaphylaxis ~ Stop the med! May need to use epinephrine for allergic reaction 9. What should patient be warned about when taking erythropoetin/epoetin alfa (Epogen, Procrit) ~ SJS could occur ~ Hypertension, especially in chronic renal failure ~ tells body to make more RBCs, so too many could lead to clots! need to monitor BP, hemoglobin 10. how does sucralfate (Carafate) work? how should px take it? ~ blankets over erosion/ulcer to help protect it from further damage from acids ~ take on an empty stomach (so it can reach the ulcer) ~ take it 1/2 hour apart from acid suppressors, not at same time it contains aluminum ~ Dissolve, DON'T CRUSH if giving by NG DON'T GIVE WITH warfarin or antibiotics 11. why shouldn't you take sucralfate (Carafate) and antibiotics at same time ~ will decrease absorption of tetracycline. and decrease effectiveness with fluoroquinolones, should take 2 hours apart 12. sucralfate what can happen with liver ~ since it is aluminum, it can accumulate in renal failure 13. ondasetron (Zofran) class and action ~ blocks effects of serotonin at 5HT3 receptor sites located in vagal nerve terminals and chemoreceptor trigger zone in the CNS ~ Decreases incidence and severity of nausea and vomiting following chemo or surgery 14. . patient teaching for ondasteron (Zofran) ~ use with caution with antidepressants d/t serotonin syndrome ~ dizziness and headache are common