ANP-654 Final Review Exam Questions
and Answers
DIC treatment - Answers -Anticoagulant therapy
Replacement therapy: Transfusion of platelets, FFP, or concentrations of coagulation
factors
Complete removal of the underlying injury
Priorities are circulation and oxygenation
Most effective nursing intervention is anticipation of DIC in any patient with infection,
trauma, cancer, or obstetric emergency!!
D-dimer range - Answers -0-250ng/ml
Should be <250ng/ml
What is D-Dimer? - Answers -Fibrin degradation product that is elevated in the
presence of a thrombus.
Elevation can indicated possible DVT or PE but may also be elevated in patients s/p
surgery and most hospitalized patients therefore it cannot be used to confirm DVT or PE
if positive.
If negative, can rule out DVT/PE
Hallmark of severe thrombcytopenia - Answers -mucocutaneous bleeding
petechiae
primary hemostasis - Answers -platelet plug formation
secondary hemostasis - Answers -coagulation cascade and fibrin formation (stable clot
formation)
The liver is the major source of all hemostatic proteins except.... - Answers -vWF and
Tissue Plasminogen Activator
Top 3 Substance Categories for Overdoses: - Answers -Sedatives or Hypnotics
Cardiac Meds
Opioids
beta blocker overdose treatment - Answers -IVF's
Atropine
Vasopressors with B1 agonist properties
direct cardiac pacing
and Answers
DIC treatment - Answers -Anticoagulant therapy
Replacement therapy: Transfusion of platelets, FFP, or concentrations of coagulation
factors
Complete removal of the underlying injury
Priorities are circulation and oxygenation
Most effective nursing intervention is anticipation of DIC in any patient with infection,
trauma, cancer, or obstetric emergency!!
D-dimer range - Answers -0-250ng/ml
Should be <250ng/ml
What is D-Dimer? - Answers -Fibrin degradation product that is elevated in the
presence of a thrombus.
Elevation can indicated possible DVT or PE but may also be elevated in patients s/p
surgery and most hospitalized patients therefore it cannot be used to confirm DVT or PE
if positive.
If negative, can rule out DVT/PE
Hallmark of severe thrombcytopenia - Answers -mucocutaneous bleeding
petechiae
primary hemostasis - Answers -platelet plug formation
secondary hemostasis - Answers -coagulation cascade and fibrin formation (stable clot
formation)
The liver is the major source of all hemostatic proteins except.... - Answers -vWF and
Tissue Plasminogen Activator
Top 3 Substance Categories for Overdoses: - Answers -Sedatives or Hypnotics
Cardiac Meds
Opioids
beta blocker overdose treatment - Answers -IVF's
Atropine
Vasopressors with B1 agonist properties
direct cardiac pacing
