NRSG 2350 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS GRADED A+
✔✔LMWH - ✔✔ENOXAPARN (Lovenox)
Used for bridge therapy with warfarin
Prevent/manage thromboembolic disorders
ANTIDOTE: Protamine sulfate
Inhibits thrombus/clots by binding to Xa + IIa factors
CI:
EPIDURAL catheters
✔✔Rivaroxaban (Xarelto) - ✔✔Anticoagulant
Reduce risk of stroke in AFib, treat DVT & PE, reduce risk of DVT after joint
replacement surgery
Monitor Bleeding: antidote = ANDEXXA (reverse bleeding)
Inhibits factor Xa
CI: pregnancy
✔✔Xaralto antidote - ✔✔ANDEXXA
✔✔Protamine Sulfate - ✔✔Antidote for heparin OD
Used with Lovenox (Heparin)
✔✔Vitamin K - ✔✔antidote for warfarin (Coumadin)
Treatment of anti-coagulant induced prothrombin deficiency
✔✔sympathomimetic - ✔✔drug that mimics the sympathetic nervous system with the
signs & symptoms seen when SNS is stimulated
✔✔Adrenergic Agonists - ✔✔drug that stimulates adrenergic receptors of the SNS,
either directly (reacts with receptor site) or indirectly (increases NE levels) also known
as sympathomimetic bc mimics effects of SNS
✔✔Phenylephrine (Neo-Synephrine) - ✔✔Alpha 1 specific adrenergic agonist
, Usually treats shock
In cold + allergy meds
Produces vasoconstriction: nasal decongestant
Binds to alpha-1 receptor: vasoconstriction of blood vessels, vasopressor effect
Dilates pupils for eye exams
Decreases swelling
IV, IM, SUB Q, Topical
AE: fear, anxiety, restlessness, headache, N, decreases urine formation, pallor
✔✔Clonidine (Catapres) - ✔✔Alpha 2 specific adrenergic agonist
Controls HTN & Pain in cancer patients
Alpha 2 receptor stimulation DECREASES sympathetic outflow from CNS
Inhibits release of NE
ORAL, PATCHES
AE: peripheral vascular disease, monitor CNS effects (dizzy, HYPOTENSION, need to
wean dose)
✔✔Dopamine - ✔✔Alpha & Beta adrenergic agonist
Correction of hemodynamic imbalances present in shock
Acts directly & by release of NE - mediates dilation of vessels in renal + splanchnic beds
to maintain renal perfusion while stimulating sympathetic response
IV
AE: tachy, ectopic beats, angina, HYPOTENSION, dyspnea, N/V/HA
✔✔Epinephrine - ✔✔Alpha/beta adrenergic agonist: ADRENALINE
For: Bronchospasm, Laryngeal edema, allergic reaction, shock
Stimulates A1 + B1/B2 receptors
Increases force of contraction + HR
SOLUTIONS GRADED A+
✔✔LMWH - ✔✔ENOXAPARN (Lovenox)
Used for bridge therapy with warfarin
Prevent/manage thromboembolic disorders
ANTIDOTE: Protamine sulfate
Inhibits thrombus/clots by binding to Xa + IIa factors
CI:
EPIDURAL catheters
✔✔Rivaroxaban (Xarelto) - ✔✔Anticoagulant
Reduce risk of stroke in AFib, treat DVT & PE, reduce risk of DVT after joint
replacement surgery
Monitor Bleeding: antidote = ANDEXXA (reverse bleeding)
Inhibits factor Xa
CI: pregnancy
✔✔Xaralto antidote - ✔✔ANDEXXA
✔✔Protamine Sulfate - ✔✔Antidote for heparin OD
Used with Lovenox (Heparin)
✔✔Vitamin K - ✔✔antidote for warfarin (Coumadin)
Treatment of anti-coagulant induced prothrombin deficiency
✔✔sympathomimetic - ✔✔drug that mimics the sympathetic nervous system with the
signs & symptoms seen when SNS is stimulated
✔✔Adrenergic Agonists - ✔✔drug that stimulates adrenergic receptors of the SNS,
either directly (reacts with receptor site) or indirectly (increases NE levels) also known
as sympathomimetic bc mimics effects of SNS
✔✔Phenylephrine (Neo-Synephrine) - ✔✔Alpha 1 specific adrenergic agonist
, Usually treats shock
In cold + allergy meds
Produces vasoconstriction: nasal decongestant
Binds to alpha-1 receptor: vasoconstriction of blood vessels, vasopressor effect
Dilates pupils for eye exams
Decreases swelling
IV, IM, SUB Q, Topical
AE: fear, anxiety, restlessness, headache, N, decreases urine formation, pallor
✔✔Clonidine (Catapres) - ✔✔Alpha 2 specific adrenergic agonist
Controls HTN & Pain in cancer patients
Alpha 2 receptor stimulation DECREASES sympathetic outflow from CNS
Inhibits release of NE
ORAL, PATCHES
AE: peripheral vascular disease, monitor CNS effects (dizzy, HYPOTENSION, need to
wean dose)
✔✔Dopamine - ✔✔Alpha & Beta adrenergic agonist
Correction of hemodynamic imbalances present in shock
Acts directly & by release of NE - mediates dilation of vessels in renal + splanchnic beds
to maintain renal perfusion while stimulating sympathetic response
IV
AE: tachy, ectopic beats, angina, HYPOTENSION, dyspnea, N/V/HA
✔✔Epinephrine - ✔✔Alpha/beta adrenergic agonist: ADRENALINE
For: Bronchospasm, Laryngeal edema, allergic reaction, shock
Stimulates A1 + B1/B2 receptors
Increases force of contraction + HR
