A client receiving warfarin (Coumadin) therapy has an INR of 5.6. ...

[Alygatorr01285]

A client receiving warfarin (Coumadin) therapy has an INR of 5.6. Which medication would the nurse expect the physician to order to reverse the warfarin (Coumadin)?
 
  1. Potassium chloride
  2. Vitamin K
  3. Desirudin (Iprivask)
  4. Protamine sulfate

Question 2

A client is receiving heparin (Hep-Lock) therapy, and serious hemorrhage occurs. Which medication should the nurse administer to reverse the effects of heparin (Hep-Lock)?
 
  1. Vitamin K
  2. Desirudin (Iprivask)
  3. Potassium chloride
  4. Protamine sulfate

[TINA]

Answer to Question 1

2

Rationale 1: Potassium chloride does not reverse the effects of heparin.
Rationale 2: Vitamin K is used to reverse the effects of warfarin. Recommended post-treatment INR values range from 2 to 4.5.
Rationale 3: Desirudin (Iprivask) is a newer antithrombin.
Rationale 4: Protamine sulfate is used to reverse heparin.

Global Rationale: Vitamin K is used to reverse the effects of warfarin. Recommended post-treatment INR values range from 2 to 4.5. Potassium chloride does not reverse the effects of heparin. Desirudin (Iprivask) is a newer antithrombin. Protamine sulfate is used to reverse heparin.

Answer to Question 2

4

Rationale 1: Vitamin K reverses the effect of warfarin (Coumadin).
Rationale 2: Desirudin (Iprivask) is a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT.
Rationale 3: Potassium chloride does not reverse the effects of heparin.
Rationale 4: If serious hemorrhage occurs, a specific blocker, protamine sulfate, may be administered to neutralize the anticoagulant activity of heparin. Protamine sulfate has an onset time of 5 minutes, and is also a blocker of the LMWHs.

Global Rationale: If serious hemorrhage occurs, a specific blocker, protamine sulfate, may be administered to neutralize the anticoagulant activity of heparin. Protamine sulfate is a blocker of the LMWHs. Vitamin K reverses the effect of warfarin (Coumadin). Desirudin (Iprivask) is a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT. Potassium chloride does not reverse the effects of heparin.

[Alygatorr01285]

Excellent

[ghepp]

Gracias!