Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Drug classification that increases blood flow to ischemic heart muscle by vasodilation or decrease myocardial oxygen demand | Antianginal drugs
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| most common routes for nitroglycerin to be absorbed into the bloodstream | Sublingual buccal translingual sprays
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| Rapid acting drug used to treat anginal attack it is PRN | Nitroglycerin
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| Long-acting drug use prevent anginal episodes it is prophylactic daily | Isosorbide mononitrate
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| Steps to take if anginal pain occurs | Take one sublingual Nitroglycerin then wait 5 minutes if no relief call nine-one-one and take a second sublingual nitroglycerin wait 5 minutes take third sublingual nitroglycerin no more than three and do not try to drive to the hospital
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| Why should you never chew or swallow sublingual nitroglycerin | You want it to bypass the liver for faster absorption
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| Why is nitroglycerin stored in an airtight dark glass bottle with a metal cap and no cotton filler | To preserve potency
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| How long does it take for nitroglycerin to lose its potency after the bottle has been opened | 3 months
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| What sensation should occur sublingual that indicates nitroglycerin is still potent | Burning sensation
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| Headache orthostatic hypotension and reflex tachycardia are adverse effects of which drug | Nitroglycerin
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| What drug is administered for the adverse effect of reflex tachycardia with nitroglycerin | Beta blockers
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| To avoid tolerance of nitrate transdermal patches what should you instruct the patient to do | Remove patch at bedtime for 10 to 12 hours
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| When should a new nitrate transdermal patch be applied | In the morning
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| Do not use a patch that has been | Cut or damaged
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| What should you use when handling transdermal patches | Gloves
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| What should a patient do that is taking sublingual nitroglycerin and experiencing chest pain and hypotension | Lie down to decrease dizziness
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| When giving nitroglycerin IV what should you remember to use | Special non PVC tubing and bags
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| What contraindicated drug results in life-threatening hypotension | Sildenafil AKA Viagra
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| What are other contraindications for Nitroglycerin | Alcohol beta blockers calcium channel blockers and diuretics
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| Beta blockers calcium channel blockers and diuretics are all what drug classification | Antihypertensive
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| Why should a patient taking nitroglycerin avoid hot tubs whirlpools hot baths and saunas while drinking alcohol | It will result in vasodilation and hypotension with the possibility of fainting
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| Inhibits the action or formation of clotting factors also known as fibrin | Anticoagulants
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| List 4 anticoagulants | Heparin enoxaprin Warfarin rivaroxaban
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| Inhibits platelet aggregation prevents platelet plugs | Antiplatelets
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| List two antiplatelet drugs | Aspirin Clopidogrel
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| Lyse break down or dissolve existing clots | Thrombolytic drugs
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| An example of a thrombolytic drug | Alteplase AKA TPA
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| Promotes blood coagulation | Hemostatic or anti fibrinolytic drugs
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| What is the most common dose of aspirin given | 81 mg
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| What is the first thing the body does after it starts bleeding from an open wound | Vasoconstrict
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| A female cancer patient on birth control just had surgery for fractures along the femur hip and knee she is post-op and immobilized what is this patient at high risk for | Emboli
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| Has no direct effect on a blood clot that is already formed prevents clot formation | Anticoagulants
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| Proteins that contribute to clotting | Clotting factors
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| Turn off coagulation Pathways to prevent clot formation | Heparin
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| What routes is heparin given | IV or subcutaneously
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| Dislodged clot fat or air | Embolus
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| What instructions would you give a patient using heparin subcutaneously | Never massage the site and always rotate sites
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| Massaging a site after a Heparin injection results in what | Hematoma
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| When verifying a Heparin dose you should | Double check with another nurse
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| Aptt stands for | Activated partial thromboplastin time
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| Normal aptt is | 30 40 seconds
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| therapeutic aptt level for a patient on heparin | 2 times the normal value or 45 to 80 Seconds
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| What is the antidote for heparin | Protamine sulfate
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| Low-molecular-weight heparin given Sub-Q in the abdomen less expensive alternative to heparin no lab test required | EnoxapaRin AKA Lovenox
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| What should you do with the bubble in a pre-filled Lovenox syringe | Leave it alone it ensures the patient receives all the medication
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| Antidote for enoxaparin | Protamine sulfate
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| Oral anticoagulant that may take up to 5 days after the first dose for therapeutic effects to take place | Warfarin
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| While waiting for Warfarin effects to Kik in what medication is given until therapeutic levels have been monitored | Heparin
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| Antidote for heparin | Vitamin K
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| Normal International normalized ratio INR lab | 0.7 to 1.8
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| INR therapeutic range when on warfarin | Two to three
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| Normal Prothrombin time PT lab | 11 to 12.5 seconds
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