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Exam (elaborations)

Nurb 3150 Exam 3 Questions With 100% Verified Answers

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  • NURB 3150

Nurb 3150 Exam 3 Questions With 100% Verified Answers Hemostasis - answerAny process that stops bleeding (compression, surgery, cauterization) Coagulation - answerProcess of clotting Thrombus - answerBlood clot Embolus - answerA blood clot that has dislodged from the vessel wall and is moving ...

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  • September 29, 2024
  • 51
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURB 3150
  • NURB 3150
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Nurb 3150 Exam 3 Questions With 100%
Verified Answers


Hemostasis - answer✔Any process that stops bleeding (compression, surgery, cauterization)


Coagulation - answer✔Process of clotting


Thrombus - answer✔Blood clot


Embolus - answer✔A blood clot that has dislodged from the vessel wall and is moving through

the bloodstream


Fibrin - answer✔Stringy protein produced by fibirnogen during the clotting process, major

component of blood clots increased


Fibrinolysis - answer✔Reverse of clotting process, mechanism by which clots are listed (broken

down)


Coagulation modifiers - answer✔anticoagulants


antiplatelets

antifibrinolytics

thrombolytics

, ©BRAINBARTER 2024/2025


Anticoagulant therapy - answer✔Primarily prophylactic and used when likelihood of cot

formation is high


Anticoagulant therapy - answer✔Prevent fibrin deposits, extension of thrombus and

thromboembolic complications


Anticoagulant action - answer✔Decrease blood coagulability, no effect on existing thrombus




Oral or parenteral


Heparin - answer✔Solution for CVADs




Binds to antithrombin III and turns off the coagulation pathway to prevent clots from forming


Heparin - answer✔Does not dissolve clots, just prevents new ones from forming


Heparin - answer✔Metabolized in liver and excreted from kidney


Dosed in units


Heparin indications - answer✔When there is a need for rapid anticoagulation


-surgery of heart and blood vessels

-dialysis

-sudden arterial occlusion

, ©BRAINBARTER 2024/2025


-DVT and thrombophlebitis (prevent PE)

-Disseminated Intravascular Coagulation


Heparin CI - answer✔Preexisiting conditions that would be life threatening if bleeding occurred


-threaten abortion

-aneurysm

-ICB

-severe HTN

-hemophilia

-thrombocytopenia


Heparin - answer✔Cautious use in conditions with increased risk of bleeding


-childbirth

-trauma

-active ulcer Ds

-liver Ds


Heparin - answer✔AEs


-bleeding and hemorrhage

HIT (heparin induced thrombocytopenia)

, ©BRAINBARTER 2024/2025


Coagulation studied - answer✔PRIOR TO INITIATION- baseline aPTT, PT, CBC and platelets


6 hours AFTER- check PTT again IN OPPOSITE ARM


25-35 sec - answer✔Normal PTT


45-70 (1.5-2.5 times normal) - answer✔Therapeutic PTT


Parenteral heparin subq - answer✔Onset- 20-60min


5000 unit q 6 hour

Do not aspirate or rub

Hold for 3 seconds

Roatate sites

Double check w another nurse

Tuberculin syringe


IV heparin - answer✔Onset immediate


Loading dose

Continuous infusion on pump, provided constant blood level and less risk for complications


Heparin - answer✔Document ml/hr and u/hr


Heparin - answer✔Watch for s/s of bleeding (blood in stool, hematuria, epistaxis)


Avoid shaving w razor

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