NUSA 207 Exam 5 With
Complete Solution
Ferrous Sulfate - ANSWER iron preparation
Ferrous Sulfate action - ANSWER provide iron needed for RBC development
and oxygen transport
Ferrous Sulfate use - ANSWER treat and prevent iron-deficiency anemia
Ferrous Sulfate complications - ANSWER - teeth staining (liquid form)
- staining of skin and other tissues (IM)
- anaphylaxis
- fatal iron toxicity in children (2 to 10 g overdose)
- hypotension
- GI discomfort
Ferrous Sulfate contraindications - ANSWER - antacids, tetracyclines (reduce
iron absorption)
- caffeine, dairy products (interfere with iron absorption)
- anemias other than iron-deficiency
- allergic to iron
- caution in clients with peptic ulcer disease, regional enteritis, ulcerative
,colitis, severe liver disease
Ferrous Sulfate drug interactions - ANSWER - antacids
- tetracyclines
Ferrous Sulfate client considerations - ANSWER - take on an empty stomach
- take at regular intervals throughout the day
- can cause dark green or black stools and constipation
- may need to take for 1 - 2 months
- eat foods high in iron (liver, eggs, muscle meats, yeast, grains, green leafy
vegetables)
Heparin - ANSWER parenteral anticoagulant
Heparin action - ANSWER - prevents clotting by activating antithrombin,
thus indirectly inactivating both thrombin and factor Xa inhibiting fibrin
formation
Heparin use - ANSWER - conditions necessitating prompt anticoagulant
activity (stroke, PE, massive DVT)
- an adjunct for clients having open-heart surgery or dialysis
, - low-dose therapy for prophylaxis against postoperative DVT (hip/knee,
abdominal surgery)
- treatment of disseminated intravascular coagulation (DIC)
Heparin complications - ANSWER - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity
- allergic reaction
Heparin contraindications - ANSWER - low platelet count or uncontrollable
bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe
hypertension, liver or kidney disease, threatened abortion
Heparin drug interactions - ANSWER - antiplatelet agents and other
anticoagulants (increase risk for bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increase risk for bleeding)
Complete Solution
Ferrous Sulfate - ANSWER iron preparation
Ferrous Sulfate action - ANSWER provide iron needed for RBC development
and oxygen transport
Ferrous Sulfate use - ANSWER treat and prevent iron-deficiency anemia
Ferrous Sulfate complications - ANSWER - teeth staining (liquid form)
- staining of skin and other tissues (IM)
- anaphylaxis
- fatal iron toxicity in children (2 to 10 g overdose)
- hypotension
- GI discomfort
Ferrous Sulfate contraindications - ANSWER - antacids, tetracyclines (reduce
iron absorption)
- caffeine, dairy products (interfere with iron absorption)
- anemias other than iron-deficiency
- allergic to iron
- caution in clients with peptic ulcer disease, regional enteritis, ulcerative
,colitis, severe liver disease
Ferrous Sulfate drug interactions - ANSWER - antacids
- tetracyclines
Ferrous Sulfate client considerations - ANSWER - take on an empty stomach
- take at regular intervals throughout the day
- can cause dark green or black stools and constipation
- may need to take for 1 - 2 months
- eat foods high in iron (liver, eggs, muscle meats, yeast, grains, green leafy
vegetables)
Heparin - ANSWER parenteral anticoagulant
Heparin action - ANSWER - prevents clotting by activating antithrombin,
thus indirectly inactivating both thrombin and factor Xa inhibiting fibrin
formation
Heparin use - ANSWER - conditions necessitating prompt anticoagulant
activity (stroke, PE, massive DVT)
- an adjunct for clients having open-heart surgery or dialysis
, - low-dose therapy for prophylaxis against postoperative DVT (hip/knee,
abdominal surgery)
- treatment of disseminated intravascular coagulation (DIC)
Heparin complications - ANSWER - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity
- allergic reaction
Heparin contraindications - ANSWER - low platelet count or uncontrollable
bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe
hypertension, liver or kidney disease, threatened abortion
Heparin drug interactions - ANSWER - antiplatelet agents and other
anticoagulants (increase risk for bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increase risk for bleeding)
