NCLEX Cardiac Exam with complete solutions

NCLEX Cardiac Exam with complete solutions What are coumadin and heparin used for? - ANS ️️ To inhibit thrombus and clot formation. What is the necessary lab value to evaluate while a patient is on heparin? What is the normal value? - ANS ️️ PTT. Normal= 30 sec. If on anticoagulants it should be between 1 1/2 to 2 1/2 x the normal value. For PTT= 45-75 sec. What is the antidote for heparin? - ANS ️️ Protamine Sulfate What should you do if the PTT value is 80 for someone on heparin? - ANS ️️ D/C the med and call the doctor. What is the antidote for coumadin? - ANS ️️ Vitamin K (aqua myphiton) What lab value is used to evaluate a patient on coumadin? What is the normal value? - ANS ️️ PT. Normal= 12 sec. If on anticoagulants it should be between 1 1/2 to 2 1/2 x the normal value. For PT= 18-30 sec. What should you do if the PT value is 45 sec? - ANS ️️ D/C the med and call the doctor. What is INR? - ANS ️️ International Normalized Ratio measures blood clotting time and compares it to normal values. 1.0=normal. Most people on anticoagulants are 2-3. What should be done for someone on bleeding precautions? - ANS ️️ RANDI= Razor-electric, Aspirin- NO, Needles- small gauge, Decrease-needle sticks, and Injury- protect from. No percodan or NSAIDS, no open toed shoes. What should you observe for in someone on bleeding precautions? - ANS ️️ Hematuria (tea or coca cola colored), nosebleeds, gingival bleeding (no medicated mouth wash, flossing, or lemon glycerin swabs), and bruising (assess for abuse w/o caregiv