NR324: Hematologic Disorders Questions
and Answers Latest Update
What are the indications for heparin sodium? Ans: Administer either SQ or
IV.
Antagonist to thrombin and prevents the conversion of fibrinogen to fibrin.
What is the nursing management for heparin sodium? Ans: Assess PTT,
Hgb/Hct
Assess stools for occult blood
Avoid IM injections
What is the antidote for heparin sodium? Ans: Protamine sulfate
What are the indications for warfarin sodium (coumadin)? Ans: Blocks the
formation of prothrombin from vitamin K.
What is the nursing management for warfarin sodium (coumadin)? Ans:
Same as heparin
Given orally
Assess PT/INR
Avoid sudden change in intake of foods high in vitamin K.
What is the antidote for warfarin sodium (coumadin)? Ans: Vitamin K
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What are the indications for antiplatelets? Ans: Clopidogrel (Plavix)
Prasugrel (Effient)
Short term use after cardiac interventions. Reduce risk for thombolytic
stroke for those intolerant to aspirin.
What is the nursing management for antiplatelets? Ans: Given after or with
food.
Monitor CBC every 2 weeks for 3 months.
Monitor for signs of bleeding.
What are the indications for low-molecular-weight heparin? Ans: Enoxaparin
(Lovenox)
Prevention of thrombolytic formation (DVT).
What is the nursing management for low-molecular-weight heparin? Ans:
Monitor for signs of bleeding
Given SQ
Monitor CBC
Use soft toothbrush, avoid cuts
What is hematopoiesis? Ans: Blood cell production.
Occurs in the bone marrow (RBC, WBC, and platelets)
What is leukopenia? Ans: Low white blood cell (WBC) count.
What is neutropenia? Ans: Low neutrophils
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