Fondaparinux - Study guides, Class notes & Summaries

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a normal finding. Question 2 The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as A- A self-inflicted injur...

ATI PN PHARMACOLOGY PROCTORED EXAM A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? 1. Administer the medication into the client's abdomen. 2. Inject the medication into a muscle. 3. Massage the site after administering the medication. 4. Use a 22-gauge needle to administer the medication. A nurse is providing teaching to a client who has a urinary tract infection and new ...

Midterm Exam: NUR641E/ NUR 641E (Latest 2024/ 2025 Update) Advanced Pathophysiology and Pharmacology for Nurse Educators Guide| Qs & As| 100% Correct| Grade A (Verified Answers) Q: enteric-coated Answer: -protects the drug from stomach acid -delivers to less acidic intestine -useful for drugs that are acid labile or irritating to stomach (ex. omeprazole, aspirin) Q: extended-release Answer: -control drug release -maintain therapeutic range over longer period -good for drugs...

USMLE STEP 2 CK EXAM 2024 WITH 100% CORRECT ANSWERS Argatroban - correct answer Direct thrombin inhibitor Contraindicated in Renal Insuficiency Indicated in Liver Disease Fondaparinux - correct answer Factor Xa inhibitor Contraindicated in Liver failure Indicated in Kidney Failure Conditions associated to ITP - correct answer Lymphoma, leukemia, HIV, HCV, EBV, SLE, alcohol use, chemotherapy lead poisoning - correct answer Mild (5-44): no med, repeat levels & relocation Moder...

Ranolazine (Ranexa) ~~~ reduces the number of angina episodes per week and increased exercise tolerance. can be combined with nitrates, beta blockers, amlodipine adverse effects: Qt prolongations, elevation of blood pressure antiplatelet drugs ~~~ Decrease platelets ability to adhere to one another. Used in patients at risk for: TIA, CVA, and MI example: aspirin,clopidogrel heparin ~~~ use: preferred anticoagulant in pregnancy, DVT, PE, low-dose to prevent postop venous thrombus, D...

USMLE Step 2 CK Exam TEST COMPLETE SET ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS Argatroban - ANSWER : Direct thrombin inhibitor Contraindicated in Renal Insuficiency Indicated in Liver Disease Fondaparinux - ANSWER : Factor Xa inhibitor Contraindicated in Liver failure Indicated in Kidney Failure Conditions associated to ITP - ANSWER : Lymphoma, leukemia, HIV, HCV, EBV, SLE, alcohol use, chemotherapy lead poisoning - ANSWER : Mild (5-44): no med, repeat levels & relocati...

MGMT: -Send HIT antibody, serotonin release assay -d/c all heparin products -Rx w/ direct thrombin inhibitor (argatroban, bivalirudin) at therapeutic doses -Arixtra (fondaparinux) can be used -Once platelet count recovers, initiate Coumadin (warfarin) -Document Heparin Allergy

Management of HIT - Answer -Immediately d/c all heparin products, highly dangerous. -Send HIT antibody, serotonin release assay is confirmatory if antibody is positive. -Start a direct thrombin inhibitor: argatroban, bivalirudin at therapeutic doses. -Arixtra: fondaparinux can be used in select cases. -Once platelet count has recovered, initiate low-dose Coumadin: warfarin. -Document heparin allerg

NUR-641E Mid-Term Exam Study Guide Note: Read the questions: the questions only have one answer unless the question specifically states there is more than one correct answer. ANSWERED SO FAR Understand what a prodrug is, and activation/inactivation by liver enzymes, and how it differs from active drugs. Know what Bioavailability (BA) Bioavailability is affected by chemical instability, solubility and first-pass metabolism Bioequivalence does not affect bioavailability Understand what the Cytochr...

MRA recommendation for CHF 1. symptomatic HFrEF </= 35% 2. Post-MI with </=40% and either HF symptoms or DM MRA CI 1. eGFR <30 2. SCr >/=2.5 in male, >/=2.0 in female 3. K >5.0 4. pt already on combination therapy with ACEI + ARB (d/t increase risk of hyperkalemia with MRA) Hydralazine/isosorbide recommended for which CHF patients? 1. AA patients with NYHA class III/IV taking ACEI/ARB , BB +/- MRA 2. any symptomatic HFrEF patients who are intolerant to ACE...

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