QUESTIONS WITH SOLUTIONS GRADED A+
◉Thrombolytics: During and after administration we take. Answer:
bleeding precautions (also with acetaminophen overdose)
◉Thrombolytics: Bleeding precautions. Answer: -watch for bleeding
gums
-watch for hematuria
-watch for black stools
-use an electric razor
-use a soft toothbrush
-NO IMs
◉Thrombolytics: When should you draw blood and why?. Answer:
when starting IVs to decrease the number of puncture sites
◉Thrombolytics: When should you get ABGs?. Answer: you should
NOT obtain ABGs with bleeding precautions
,◉Common medications requiring bleeding precautions. Answer: -
abciximab (ReoPro)
-acetaminophen (Tylenol)
-acetylsalicylic acid (Aspirin)
-apixaban (Eliquis)
-clopidogrel (Plavix)
-dabigatran (Pradaxa)
-enoxaparin sodium (Lovenox)
-eptifibatide (Integrillin)
-heparin rivaroxaban (Xarelto)
-warfarin (Coumadin)
◉Acute Coronary Syndrome: Medical Interventions. Answer: 1. PCI
(percutaneous coronary intervention)
2. CABG (coronary artery bypass graft)
◉PCI (percutaneous coronary intervention): Includes all
interventions such as. Answer: PTCA (percutaneous transluminal
coronary angioplasty) and stents
◉PCI (percutaneous coronary intervention): Major complication of
an angioplasty is. Answer: a myocardial infarction
, ◉PCI (percutaneous coronary intervention): Don't forget the client
may. Answer: bleed from heart cath site or they could reocclude
◉PCI (percutaneous coronary intervention): If any problems occur.
Answer: go to surgery (cath lab)
◉PCI (percutaneous coronary intervention): Chest pain after
procedure - what should you do and why?. Answer: call the primary
healthcare provider at once because they are reoccluding
◉PCI (percutaneous coronary intervention): Anti-platelet
medications. Answer: -acetylsalicylic acid (Aspirin)
-clopidogrel (Plavix)
-prasugrel (Effient)
-abciximab (ReoPro IV)
-eptifibatide (Integrilin IV)
◉PCI (percutaneous coronary intervention): clopidogrel (Plavix),
prasugrel (Effient), and abciximab (ReoPro IV) are given to. Answer:
high risk clients who have been stented to keep artery open and
those waiting to go to the cath lab
◉CABG (coronary artery bypass graft): Can be. Answer: scheduled
or emergency procedure