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Exam 1 Medications Flashcards | StudBud
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Exam 1 Medications
Exam 1 Medications
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Answers
1
Warfarin pregnancy class
A
X
C
B
2
MOA for Lidocaine
Combines with acetylcholine receptor sites causing muscle contractions
Suppresses pain in the CNS
Blocks sodium channels and thereby blocks nerve conduction
Blocks calcium channels which blocks muscle contractions
3
Midazolam is a Benzodiazepine
True
False
4
MOA of Warfarin
suppresses liver synthesis of vitamin K dependent coagulation factors
blocks conversion of prothrombin to thrombi
suppresses kidney synthesis of vitamin K dependent coagulation factors
inhibits platelets aggregating
5
Warfarin treatment of overdose
narcan
Platelets
protamine sulfate
Vitamin K
6
MOA of Isoflurane
Natural substance that prolongs coagulation time
Produces potent level of general anesthesia
block sodium channels and thereby block nerve conduction
provides muscle relaxation
7
Lidocaine is a local anesthetic & is used in regional blocks
False
True
8
Succinylcholine does not facilitate intubation & patient positioning
True
False
9
Propofol is used for
induction and maintenance
conscious sedation
amnesia
muscle relaxation
10
Succinylcholine is a Depolarizing Neuromuscular Junction Blocker
False
True
11
Isoflurane can provide general anesthesia
True
False
12
AE of Isoflurane
N/V
decreased BP
respiratory depression
Malignant hyperthermia possible
13
Alteplase drug class
antiplatelet
thrombolytic
benzodiazepine
anticoagulant
14
Patient should report signs of bleeding on Enoxaparin
True
False
15
Succinylcholine is used in adjunct to general anesthesia
False
True
16
AE of Aspirin
constipation
repiratory depression
bleeding
flu like symptoms
17
Caution use of Propofol in patients with?
heart or respiratory conditions
vitamin K deficiency
egg or soybean allergy
pregnancy
18
Caution use of Warfarin in patients with Vitamin K deficiency
True
False
19
Patient education for Warfarin
report any signs of bleeding
keep appointments for lab monitoring and take pills at same time every day
to be consistent with Vitamin K containing foods in diet
Do not get Preganant
20
Isoflurane post op nurse responsibility
Nurse facilitates its excretion postoperatively by encouraging coughing
Patient is advised to report signs of bleeding
Nurse facilitates excretion postoperatively by encouraging deep breathing
Patient sweats the medication out
21
How many days does Warfarin have to be bridged
two weeks (14)
one month (30)
one day (1)
Several days (3-5)
22
Enoxaparin prefilled syringe protocol
massage
do not expel air bubble for 30 or 40 mg doses
do not expel air bubble for 50 or 60 mg doses
don’t aspirate or massage
23
Warfarin has to be bridged with Heparin
True
False
24
AE of Alteplase
loss of conciousness
internal bleeding
superficial bleeding
CNS depression
25
AE of Midazolam
decreased BP
respiratory depression
N/V
CNS depression
26
Heparin affects PT and INR
False
True
27
While taking alteplase patient is on bedrest while getting this drug check VS frequently and report any sign of bleeding
True
False
28
Lab tests for Heparin
CBC
PT
INR
aPTT
29
Lab tests for Warfarin
CBC
INR
PT
aPTT
30
Lab tests for Alteplase
baseline CBC
INR
bleeding times
aPTT, PT
31
Aspirin can be given to children
False
True
32
Isoflurane is not a volatile liquid
False
True
33
Succinylcholine can cause muscle pain
True
False
34
Uses of Aspirin
prevention of thromboembolic events
prevents the enlargement of existing clots
atrial fibrillation
can also be used to open certain occluded IV catheters
35
MOA of Aspirin
suppresses kidney synthesis of vitamin K dependent coagulation factors
inhibits platelets aggregating
blocks conversion of prothrombin to thrombi
suppresses liver synthesis of vitamin K dependent coagulation factors
36
MOA of Enoxaparin
inhibits platelets aggregating
suppresses liver synthesis of vitamin K dependent coagulation factors
antithrombotic properties
blocks conversion of prothrombin to thrombin
37
Heparin drug class
anticoagulant
thrombolytic
benzodiazepine
antiplatelet
38
Heparin can be injected within two inches of the umbilicus and aspirated
False
True
39
AE of Heparin
abnormal bleeding
purple toe syndrome
heparin-induced thrombocytopenia
decreased AST, ALT
40
Alteplase can also be used to open certain occluded IV catheters
False
True
41
Lidocaine is a general anesthetic
False
True
42
MOA of Succinylcholine
paralysis
mechanical ventilation is not necessary
Combines with acetylcholine receptor sites causing muscle contractions
patient does have a loss of consciousness
43
Nitrous oxide is used for long surgeries
False
True
44
MOA of Heparin
blocks conversion of prothrombin to thrombin
takes several days to reach peak effect
Natural substance that prolongs coagulation time
suppresses liver synthesis of vitamin K
45
AE of Nitrous Oxide
Vomiting
CNS excitement
Cardiac arrest
Nausea
46
AE of Propofol
respiratory depression
malignant hyperthermia
hypotension
cardia arrest
47
Heparin uses
clot buster
prevent platelet aggregation
prevents the enlargement of existing clots and the formation of new ones
prevention of thromboembolic events
48
Lidocaine can be applied to broken skin
True
False
49
While on aspirin patient should avoid aspirin or NSAIDs unless with provider approval
False
True
50
patient will remain conscious and able to follow directions
True
False
51
Aspirin drug class
Thrombolytic
benzodiazepine
Antiplatelet
anticoagulant
52
Succinylcholine produces
CNS depression
loss of consciousness
skeletal muscle relaxation
amnesia
53
Nitrous oxide drug class
Benzodiazepine
inhalation gaseous drug
Local Anesthetic
Volatile liquid
54
AE of Warfarin
abnormal bleeding
purple toe syndrome
Respiratory depression
Nephritis
55
Uses for Alteplase
pulmonary embolism
acute MI
peripheral artery disease
ischemic stroke
56
MOA of Alteplase
dissolves the fibrin clots
suppresses liver synthesis of vitamin K dependent coagulation factors
Identical to human tPA; converts plasminogen to plasmin,
inhibits platelets aggregating
57
Warfarin drug class
benzodiazepine
Thrombolytic
anticoagulant
antiplatelet
58
Heparin treatment of overdose
Platelets
protamine sulfate
Vitamin K
narcan
59
MOA of Midazolam
Suppresses neuronal activity in CNS
Produces muscle relaxation
potentiating effects of neurotransmitter GABA
producing sedation and amnesia
60
AE of lidocaine
CNS excitement
Respiratory depression & cardiac arrest
Malignant hyperthermia
Uncommon
61
MOA Nitrous Oxide
has to be combined with other agents if general anesthesia is desired
suppresses pain in CNS (Central Nervous System); no loss of conciousness
Produces potent level of general anesthesia; provides muscle relaxation
Suppresses neuronal activity in CNS by potentiating neurotransmitter GABA
62
AE of Enoxaparin
thrombocytopenia
respiratory depression
abnormal liver function tests
abnormal bleeding
63
Isoflurane has to be used with IV agents to provide general anesthesia
False
True
64
Patients do not need to report signs of bleeding while on Aspirin
True
False
65
Enoxaparin drug class
Thrombolytic
benzodiazepine
Antiplatelet
anticoagulant
66
Patient education for heparin includes
use of soft toothbrush
report any signs of bleeding
use of regular razor
hepatitis
67
AE of Succinylcholine
hypertension
malignant hyperthermia
CNS depression
hyperkalemia
68
Midazolam has to be combined with other drugs for general anesthesia
False
True
