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Beta blocker - correct answer Selective (beta 1)and non selective (beta 2) A beta-blocker used for - correct answer emergency treatment of ventricular arrhythmias( heart beat is too slow or too fast : Bradycardia or tachycardia. to manage cardiovascular symptoms, such as angina and high blood pressure. Patient who have atrial fibrillation has either - correct answer Bradycardia or tachycardia if the patient vital signs show bradycardia we don't give any medication that lower HR like lol or diltiazem Selective beta blockers - correct answer StP Selective beta blocker( b1) - correct answer Heart and kidney Beta 1 selective blockers (STP) - correct answer Use blood monitor to test for hypoglycemia don't use heart rate to monitor for hypoglycemia Non-selective beta blockers - correct answer beta-1,2,3 (found in all organs heart also) Beta 1.2.3 - correct answer AME Heparin - correct answer Slows down the clotting process and helps prevent blood clots. Heparin used for - correct answer Preventing or treating blood clots Hampering used against - correct answer DVT PE, stroke, atrial fibrillation and to prevent clot with certain surgery. Heparin test - correct answer APTT APTT protocol - correct answer If the aPTT is too low, the patient may need a bolus of Heparin and the drip rate increased. If the aPTT is too high, the patient may need the drip turned off for 1 hour and the drip rate decreased. If the aPTT is within the therapeutic range (see range below), there is no change to the drip until the next lab draw for the aPTT. Heparin is - correct answer weight-based: the nurse will need to obtain a current and accurate weight on the patient's so proper dosing can be administered. I order for heparin to work in the body APTT should be - correct answer Heparin therapeutic range for the aPTT: 1.5-2.5 times the normal value range......example: 60-80 seconds (approximate range....varies on protocol and labs). What to remember about heparin therapy - correct answer aPTT less than 60? Patient is not therapeutic (may need bolus and rate increased) aPTT greater than 80? Patient is at risk for bleeding (drip may be stopped for an hour (Heparin has a short half-life) and then it may be restarted at a lower rate) Heparin administration - correct answer If administered subcutaneous, know how to give it and where...... Site: fatty tissue of the abdomen....stay at least 2 inches away from the belly button and 1 inch away from scars (won't absorb the medication) Always rotate sites (see where the last nurse administered the injection in the chart and ask the patient) Don't rub or massage the area! What is the antidote for heparin? - correct answer protamine sulfate A patient develops Heparin-Induced Thrombocytopenia (HIT). As the nurse, you would expect the Heparin to be discontinued and the patient to be started on what other type of anticoagulant? - correct answer Direct thrombin inhibitor Warfarin (Coumadin) - correct answer It's for long-term anticoagulation. Preventing or treating blood clots (DVT, PE etc.) To monitor for warfarin - correct answer Pt/INR INR too low? After using warfarin ( Coumadin) - correct answer risk for clot formation...needs dosage to be increased INR too high? After using warfarin - correct answer