NSG 360 PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
Low molecular weight
Orthopedic surgeries
DVT prophylaxis, immobility stints, cardiac surgeries - indicators
Leave bubble in syringe
Never by IM, only SUBQ
No rubbing after administered, no aspiration, no mixing with other drugs
X out for pork allergies, heparin allergies; PUD; leukemia
Enoxaparin: "LOVENOX"
L:
O:
V:
E:
N:
O:
X:
Enoxaparin
Give ________ within 2 hours of preop abdominal surgery and 12 hours of knee surgery
Vitamin K
________ is needed to form clots
Antiplatelet
______ drugs work to prevent platelet adhesion at the site of blood vessel injury, which actually
occurs before the clotting cascade
Thrombolytics
,______ are coagulation modifiers that lyse thrombi in the coronary arteries, which supply the
heart with blood
Thrombolytics
_____ helps reestablish blood flow to the blood-starved heart muscle
Thrombolytics
When using _______:
- If the blood flow is reestablished early, the heart muscle and left ventricular function can be
saved
- If blood flow is not reestablished early, the affected area of the heart muscle becomes
ischemic and eventually necrotic and nonfunctional
Thrombolytic
The presence of a thrombus that interferes significantly with normal blood flow on either the
venous or arterial side of circulation is an indication for the use of ______ therapy
Heart attack
A clot blocking the vessel in the heart is what can cause a _______
Thrombolytics
Need to give a _______ within at least 12 hours after a heart attack
Thrombolytics
Need to give a _______ within 3 hours of an ischemic stroke (don't want to give if it's a
hemorrhagic stroke)
Thrombolytic
Indications for ________ therapy include:
Acute MI
Arterial thrombosis
, DVT
Occlusion of shunts or catheters
Pulmonary embolus
Acute ischemic stroke
Thrombolytics
______ drugs reestablish blood flow to the blood starved tissue
Thrombolytics
The use of ________ has almost been replaced by the use of cardiologic procedures such as
percutaneous coronary intervention
Antifibrinolytics
______ prevent the lysis of fibrin
Fibrin
_____ is the substance that helps make platelet plug insoluble and anchors the clot to the
damaged blood vessel
Fibrin
____ is the thing that holds the clot together - this drug will allow the clot to stay there and
hopefully they will quit bleeding
Antifibrinolytics
______ prevent the lyses of fibrin; in doing so, they actually promote clot formation
Antifibrinolytics
_____ are also called hemostatic drugs
Antifibrinolytics
SOLUTIONS
Low molecular weight
Orthopedic surgeries
DVT prophylaxis, immobility stints, cardiac surgeries - indicators
Leave bubble in syringe
Never by IM, only SUBQ
No rubbing after administered, no aspiration, no mixing with other drugs
X out for pork allergies, heparin allergies; PUD; leukemia
Enoxaparin: "LOVENOX"
L:
O:
V:
E:
N:
O:
X:
Enoxaparin
Give ________ within 2 hours of preop abdominal surgery and 12 hours of knee surgery
Vitamin K
________ is needed to form clots
Antiplatelet
______ drugs work to prevent platelet adhesion at the site of blood vessel injury, which actually
occurs before the clotting cascade
Thrombolytics
,______ are coagulation modifiers that lyse thrombi in the coronary arteries, which supply the
heart with blood
Thrombolytics
_____ helps reestablish blood flow to the blood-starved heart muscle
Thrombolytics
When using _______:
- If the blood flow is reestablished early, the heart muscle and left ventricular function can be
saved
- If blood flow is not reestablished early, the affected area of the heart muscle becomes
ischemic and eventually necrotic and nonfunctional
Thrombolytic
The presence of a thrombus that interferes significantly with normal blood flow on either the
venous or arterial side of circulation is an indication for the use of ______ therapy
Heart attack
A clot blocking the vessel in the heart is what can cause a _______
Thrombolytics
Need to give a _______ within at least 12 hours after a heart attack
Thrombolytics
Need to give a _______ within 3 hours of an ischemic stroke (don't want to give if it's a
hemorrhagic stroke)
Thrombolytic
Indications for ________ therapy include:
Acute MI
Arterial thrombosis
, DVT
Occlusion of shunts or catheters
Pulmonary embolus
Acute ischemic stroke
Thrombolytics
______ drugs reestablish blood flow to the blood starved tissue
Thrombolytics
The use of ________ has almost been replaced by the use of cardiologic procedures such as
percutaneous coronary intervention
Antifibrinolytics
______ prevent the lysis of fibrin
Fibrin
_____ is the substance that helps make platelet plug insoluble and anchors the clot to the
damaged blood vessel
Fibrin
____ is the thing that holds the clot together - this drug will allow the clot to stay there and
hopefully they will quit bleeding
Antifibrinolytics
______ prevent the lyses of fibrin; in doing so, they actually promote clot formation
Antifibrinolytics
_____ are also called hemostatic drugs
Antifibrinolytics
