A patient has undergone a PCI, and the provider orders ...

[schs14]

A patient has undergone a PCI, and the provider orders clopidogrel to be given for 12 months, along with an ACE inhibitor and heparin. What will the nurse do?
 
  a. Question the need for heparin.
  b. Request an order for a beta blocker.
  c. Request an order for aspirin.
  d. Suggest ordering clopidogrel for 14 days.

Question 2

A patient has undergone a primary percutaneous coronary intervention with a sirolimus-eluting stent. The provider has ordered a daily dose of 243 mg of aspirin. What will the nurse tell this patient about the dose of aspirin?
 
  a. It will be necessary indefinitely.
  b. It will decrease to 81 mg per day in 6 months.
  c. It will decrease to 162 mg per day in 3 months.
  d. It will increase to 325 mg per day in 1 month.

[hramirez205]

Answer to Question 1

ANS: C
Patients who have undergone a PCI should receive heparin, ASA, and a fibrinolytic; therefore, this patient needs ASA added to the drug regimen. Heparin should be given before, during, and for at least 48 to 72 hours after the procedure. Beta blockers are not necessarily indicated. Clopidogrel should be given at least 12 months after the procedure.

Answer to Question 2

ANS: C
Patients who have undergone PCI with a sirolimus-eluting stent take a higher dose of ASA for 3 months and then a low dose indefinitely. The high dose is not taken indefinitely with this type of stent. The dose will be reduced in 3 months, not 6 months. The dose will not increase.

[schs14]

Excellent

[tranoy]

TYSM