This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A child with moderate hemophilia A who weighs 20 kg is admitted to the hospital after a knee injury ... (Read 96 times)

cherise1989

  • Hero Member
  • *****
  • Posts: 555
on: Jul 23, 2018
A child with moderate hemophilia A who weighs 20 kg is admitted to the hospital after a knee injury with bleeding into the joint. The nurse will expect the provider to order which medication?
 
  a. Advate 400 units IV over 10 minutes
  b. Benefix 800 units slow IV push
  c. Desmopressin 6 mcg IV over 15 to 30 minutes
  d. Tranexamic acid (Cyklokapron) 200 mg IV

Question 2

A patient with epistaxis and a history of hemophilia A is admitted to the unit and is scheduled for replacement therapy. The nurse should prepare to administer which medication?
 
  a. Tranexamic acid (Cyklokapron)
  b. Aminocaproic acid (Amicar)
  c. Desmopressin (Stimate)
  d. Factor VIII


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Jossy

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Advate is a third-generation product for factor VIII replacement, which this child needs. Third-generation products are safer, because they are not exposed to BSA or HAS during production; therefore, this is the product of choice. Benefix is a factor IX replacement product and is not indicated for hemophilia A. Desmopressin is used to stop bleeding in patients with mild hemophilia. Tranexamic acid is used as adjunctive therapy.

Answer to Question 2

ANS: D
The cornerstone of treatment for hemophilia A is replacement therapy with factor VIII. Tranexamic acid and aminocaproic acid are antifibrinolytic agents that act primarily by preventing the formation of plasmin from its precursor. Desmopressin promotes the release of factor VIII from the vascular endothelium and has the advantage of being cheaper than factor VIII. Also, it can be administered by nasal spray or by IV infusion. However, repeated use of desmopressin can deplete stored factor VIII.


cherise1989

  • Member
  • Posts: 555
Reply 2 on: Jul 23, 2018
Gracias!

steff9894

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Child influences on parents, parenting influences on children, and influences of the marital ... Child influences on parents, parenting influences on children, and influences of the marital ...
Rubella rash in a young child. Rubella is also called 3-day measles or German measles. Rubella rash in a young child. Rubella is also called 3-day measles or German measles.
A Corner of the General Massage Section of an Army Hospital. A Practice of Physiotherapy by Sampson, ... A Corner of the General Massage Section of an Army Hospital. A Practice of Physiotherapy by Sampson, ...
Endangerment sites of the head and face. Use only light to moderate pressure on head and face. Endangerment sites of the head and face. Use only light to moderate pressure on head and face.
South American Indigenous Woman and Child South American Indigenous Woman and Child
Immune-to-brain signaling occurs in response to infection, injury, and inflammation that occur in pe Immune-to-brain signaling occurs in response to infection, injury, and inflammation that occur in pe
Video: The Hypothalamus: The Body's Thermostat (Human Thermostat)

For a complete list of videos, visit our video library