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Quiz 2

Hematologic & Immunologic Drugs

QuestionAnswer
Immunosuppressant drugs – priority action for s/s of allergy or anaphylaxis (p. 304) - Stop the infusion immediately and follow protocol for an emergency situation
Lovenox (LMWH) - Purpose ( P. 304 ) - Decrease clot formation and by increasing the amount of antithrombin 3 ( a protein)
Warfarin – normal INR range (p. 286) 0.9-1.1
Drug to prevent transplant rejection – (p. 302) - Antirejection drug. suppresses the cells and factors of the immune system that are responsible for rejection of transplanted tissues and organs by the patient’s body.
Immunosuppressant – adverse effects (p. 304) - Increase risk for cancer development - Phlebitis and thrombosis at admin site - Imbalance of potassium,phosphorus and magnesium
Plavix – early signs of bleeding (p. 281, Safety Alert) -Easy bruising of knuckles, elbows, -New or excessive bleeding of gums, -Blood in urine/stool -Tarry colored stool -Tachycardia, -Hypotension, -SOB -GI pain.
Antidote for heparin overdose (p. 285) -Protamine sulfate
ESAs (erythropoiesis-stimulating agents) adverse reactions (p. 289) - high risk for hypertension , blood clots, Stroke, and MI(heart attack) - increased tumor growth - severe allergic reaction
Diet for patient on anticoagulant therapy (p. 280) - Limit amount of green, leafy vegetables because they are a natural source of vitamin k that can reduce the effect of warfarin.
Epoietin alfa (Epogen) – drug class (p. 289) - Erythropoiesis stimulating agents: induce bone marrow to increase the production of red blood cells and some other blood cells
Live virus vaccination – contraindication (p. 301) - Immunocompromised or residing with a person who is immunocompromised - Individuals who are unvaccinated - People who show a severe allergic reaction to flu vaccine
Sandimmune – contraindicated solution when mixing (p. 305) - Do not mix with water
Fibrinolytics – purpose (p. 287) - Dissolve and break down existing blood clots.
Antidote for warfarin overdose (p. 285-286) - Vitamin k antagonist
Timing of fibrinolytic for a stroke (p. 287) - Most helpful if given within the first hour of symptoms - If given within three hours it will allow to dissolve the clot and return blood flow
Created by: rubenmurillo139
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