Get Answer: Drug Drug Class Question Guide
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Original Question
Drug Drug Class Mechanism of Action Adverse Effects Nursing Implications enoxaparin (Lovenox) anticoagulant #11. _____________ Critical adverse effect is hemorrhage Critical allergic: #12 ________ (induced by**hint) Monitor(labs):#13 __________ Antidote:#14 _______________ fondaparinux #15 ______________ #16 ______________ 1. Can cause epidural bleeds. Labs to monitor: None Nursing Implications: Avoid giving in patients with decrease level of consciousness, complains of back pain or is paralyzed. Do not administer to patients for at least 6 hours after #17_______or with a #18__________ epidural Rivaroxaban (Xarelto) Apixiban (Eliquis) Edoxanban (Savaysa) Anticoagulants Inhibits factor Xa Risk for neurological impairment Lab monitoring: No routine clot studies Nursing Implications: Avoid over the counter medications (Vit E, ginkgo biloba, fish oils, garlic, NSAIDS) Teach patients to avoid bleeding by doing the following: (3 examples)___#19______ Drug Drug Class Mechanism of Action Adverse Effects Nursing Implications Aspirin (Acetylsalicylic Acid) Indication: Reduce risk of CVA, TIA, prevent of MI Treatment during episodes of unstable angina and MI Prevention: occlusion of stents #20. __________ Decrease platelet aggregation Side effect: #21_________(given in high doses) Bruising Gastric upset Adverse reaction: GI bleed hemorrhagic stroke (uncontrolled HTN) Monitor(labs): platelets Antidote for ASA toxicity: #22 _______(There are 2 optional answers that will be accepted. Monitor for signs of: ***toxicity – tinnitus, hyperventilation, Clopidogrel (Plavix) Antiplatelet #23 _________ Side effect: diarrhea gastric discomfort Adverse Reaction: bleeding #24 ________ Monitor (labs): #25 __________ Administered: po Abciximab Indicated: after cardiac procedures Antiplatelet (Glycoprotein (GP) receptor inhibitors) Blocks GP IIB/IIIa receptors that stop platelet aggregation Critical adverse reaction: hemorrhage Thrombocytopenia Monitor: hgb & Platelets ***Assess for bleeding in #26 _____ #27_______ IV insertion sites Nursing Implications ECG changes No needle sticks or new IV injections Drug Drug Class Mechanism of Action Adverse Effects Nursing Implications tPA Alteplase Streptokinase Thrombolytics Break down, or lyse or existing clots Bleeding Severe Effect: Severe bleeding Administered: #28 _(route)_ ONLY Nursing Implications: Monitor for mental status changes No new IV, ABGS Never give through a (route) #29 _________. Do not give within 2 weeks of surgery Do not give to patients with active #30 _______ Can only be administered from #31______ hours from onset of symptoms Monitor for cardiac changes/dysrhythmias Uncontrolled hypertension or b/p (180/110) Drug Drug Class Mechanism of Action Adverse Effects Erythropoietin Alfa Hematopoietic Agents #32_____________ #33 ________ Cardiovascular events- MI, CVA, DVT Filgrastim Indicated for Neutropenia Hematopoietic Agents Increase production of neutrophils (in the bone marrow) Enlarge spleen __#36___ pain Leukocytosis Oprelvekin Hematopoietic Agents Simulate platelet production #37_______ (sign of fluid overload) anemia Cardiac dysrhythmias Severe Reaction: Anaphylaxis Iron Sulfate Iron deficiency anemia, dietary supplement (prevention) Hematinic Agents Replacement of iron which is critical for hemoglobin function Adverse Reaction #39_______** Nausea Dark Tarry stools Serious Side effect with IV route: #40_______ Patient Teaching 1. Take with vitamin #41_______ source. 2. Infusion: Give a test dose when administering #42 (which route). Keep epinephrine on h and for anaphylaxis. 3. Teach patient to increase fiber and drink plenty of fluids to reduce constipation Folic Acid Indicated: Folic acid anemia, dietary supplement Hematinic Agents Replacement for folic acid Nausea Flatulence Rash 1. Teach patient dietary/lifestyle changes: – Increase consumption of foods high in #43_______ (e.g., green vegetables, liver). 2. If alcoholism underlies dietary deficiency, offer counseling for alcoholism, as well as dietary advice. ” Vitamin B12 Hematinic Agents Replacement Vitamin B12 anemia, Dietary supplement, absence of intrinsic factor Headache Nausea Serious Adverse Reaction #44________** (low lab value) Pulmonary edema Anaphylaxis Labs to Monitor: ***Serum ___#45___ Teach patient s/s of hypokalemia and instruct them to contact provider immediate. Treatment duration- is #46 (how long)
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