Exam (elaborations)
Pharm Hesi pt 2 2024/2025 (100% verified)
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Pharm Hesi pt 2 2024/2025 (100% verified)
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Pharm Hesi pt 2 2024This drug produces platelet inhibition and vasodilation; used for treating intermittent claudication
and ischemic pain. - ANSPentoxifylline (Trental)
Observe for ________ when a patient is taking heparin - ANSbleeding gums
epistaxis
black stools
easy bruising
headaches
______ is the antidote/ reversal agent for heparin. - ANSProtamine Sulfate
What labs are used to monitor heparin? - ANSaPTT and platelet count
List two important nursing actions needed before administering a Heparin IV stat. - ANSVerify
labs
have a 2nd RN check dose
Opiods such as morphine, hydrocodone, oxycodone, hydromorphone (dilaudid) and codeine
can all produce _____. - ANSCNS depression
Respiratory Depression
What is the nursing priority when a patient taking opiods is ambulating? - ANSSafety
This drug not only reverses respiratory depression but also reverses the analgesia provided by
opiates. - ANSNaloxone (Narcan)
may need to titrate dose to prevent sudden withdrawl
can be repeated in 2-3 min intervals
has a shorter half life than opiods
Priority assessments needed when a patient double doses on opiates such as___. -
ANSRespiratory rate (RR) and Level of conciousness (LOC)
Side effects of opiods are - ANSconstipation, pruitus, urinary retention, low BP, and low heart
rate (HR)
Long term pain can be managed with a _____, it is considered a good opiate for patients with
strong pain and have renal impairment. - ANSFentanyl (Duragesic) patch
only use in patients that are opiod tolerant
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