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Author Question: A patient is admitted to the hospital with deep vein thrombosis. A 10,000-unit dose of heparin is ... (Read 131 times)

sdfghj

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on: Jul 23, 2018
A patient is admitted to the hospital with deep vein thrombosis. A 10,000-unit dose of heparin is administered subcutaneously. What drug does the nurse keep on hand to reverse the effects of heparin if the patient begins to bleed?
 
  A) Antithrombin (Thrombate III)
  B) Desirudin (Iprivask)
  C) Protamine sulfate
  D) Vitamin K

Question 2

The nurse is preparing patient teaching for a diabetic patient who is to begin pramlintide acetate (Symlin) therapy, which will be taken in addition to insulin. What is the priority nursing instruction to include in this teaching plan?
 
  A) The drug is injected subcutaneously immediately before a major meal.
  B) The drug has a rapid onset of action.
  C) Inject the drug at least 2 inches away from any insulin injection site.
  D) Do not combine the drug with insulin in the same syringe.


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honnalora

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Feedback:
The antidote for heparin is protamine sulfate. This drug forms stable salts as soon as it comes in contact with heparin. The reaction immediately reverses heparin's anticoagulation effects. Vitamin K reverses the effect of warfarin. Antithrombin and desirudin are anticoagulants that would not be administered with heparin.

Answer to Question 2

A
Feedback:
Pramlintide works to modulate gastric emptying after a meal, so correct timing of administration of this drug is essential to its function. All options are appropriate instructions for this drug. However, making sure that the patient understands that injecting the medication immediately before eating a major meal is most important because it has a dramatic effect on the therapeutic action of the drug. If the medication is not given at the correct time, the other options would be insignificant.


sdfghj

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Reply #2 on: Jul 23, 2018
Thanks


honnalora

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Reply #3 on: Jul 23, 2018
Welcome :)


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