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Author Question: The nurse discovers a patient receiving warfarin is bleeding. What drug would the nurse prepare to ... (Read 27 times)

Pea0909berry

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on: Jul 23, 2018
The nurse discovers a patient receiving warfarin is bleeding. What drug would the nurse prepare to counteract this drug?
 
  A) Vitamin E
  B) Vitamin K
  C) Protamine sulfate
  D) Calcium gluconate

Question 2

Why will the nurse administer a small dose of nondepolarizing neuromuscular junction (NMJ) blocker before administering succinylcholine?
 
  A) To reduce discomfort of depolarization of muscles
  B) To reduce the risk of malignant hyperthermia
  C) To reduce negative effects of dantrolene
  D) To increase the duration of effect for succinylcholine


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hugthug12

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

C
Feedback:
Injectable vitamin K is used to reverse the effects of warfarin. Protamine sulfate is used to reverse the effects of heparin. Vitamin E reduces effects of warfarin but is not used for that purpose. Calcium gluconate would not be indicated for this patient.

Answer to Question 2

A
Feedback:
Succinylcholine is associated with muscle pain related to the initial muscle contraction reaction. A nondepolarizing NMJ blocker may be given first to prevent some of these contractions and the associated discomfort. Administering a small dose of nondepolarizing NMJ blocker will not reduce the risk of malignant hyperthermia or increase the duration of effects. Dantrolene is a drug given to treat malignant hyperthermia.


Pea0909berry

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Reply 2 on: Jul 23, 2018
Excellent

bimper21

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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