Author Question: A patient has experienced the formation of clots and has bruising. It is determined that there is a ... (Read 33 times)

student77 · **on:** Jul 23, 2018

A patient has experienced the formation of clots and has bruising. It is determined that there is a depletion of the patient's coagulation factors and widespread bleeding. Which of the following medications will be administered?

A) Aminocaproic acid (Amicar)
B) Heparin
C) Warfarin (Coumadin)
D) Protamine sulfate

Question 2

A patient is administered promethazine. The patient has an elevated creatinine level. Which of the following is important when administering promethazine to this patient?

A) Administer the routine dose.
B) Administer a lower dose.
C) Administer a higher dose.
D) Hold the medication.

janeli1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The development of clots and widespread bleeding is indicative of disseminated intravascular coagulation. The patient should be administered heparin to slow the formation of clots. The goal of heparin therapy in DIC is to prevent blood coagulation long enough for clotting factors to replenish and control hemorrhage. Aminocaproic acid is used to control excessive bleeding from systemic hyperfibrinolysis. Warfarin is administered orally to decrease clot formation. Protamine sulfate would not be administered.

Answer to Question 2

B
Feedback:
A dose reduction may be necessary in patients with renal impairment to avoid the possibility of adverse effects, toxicity, or increased sensitivity to phenothiazines.