Author Question: The nurse is caring for a patient who received protamine sulfate in error. The patient is not ... (Read 78 times)

saraeharris · **on:** Jul 23, 2018

The nurse is caring for a patient who received protamine sulfate in error. The patient is not receiving, and has never received, heparin. What effect does the nurse assess for in this patient?

A) Coagulation effects
B) No effect
C) Anticoagulant effects
D) Antiplatelet effects

Question 2

When a nondepolarizing neuromuscular junction blocker is used as an adjunct to surgery, what classification of medications could reverse the neuromuscular blockage leading to early arousal and return of muscle function?

A) Xanthines
B) Barbiturates
C) Opiates
D) Antihypertensives

Sweetkitty24130 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Paradoxically, if protamine is given to a patient who has not received heparin, it has anticoagulant effects. Protamine is normally used as an antidote to heparin overdose but if heparin was not administered, it does not have coagulation or antiplatelet effects. Since it has anticoagulant effects it cannot be said to have no effect.

Answer to Question 2

A
Feedback:
Administering xanthines (e.g., theophylline, aminophylline) could result in reversal of the neuromuscular blockage. Patients receiving this combination of drugs should be monitored very closely during the procedure for the potential of early arousal and return of muscle function. Barbiturates, opiates, and antihypertensives do not reverse neuromuscular blockage.