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Quiz 2
Hematologic & Immunologic Drugs
Question | Answer |
---|---|
Immunosuppressant drugs – priority action for s/s of allergy or anaphylaxis (p. 304) | - Stop the infusion immediately and follow protocol for an emergency situation |
Lovenox (LMWH) - Purpose ( P. 304 ) | - Decrease clot formation and by increasing the amount of antithrombin 3 ( a protein) |
Warfarin – normal INR range (p. 286) | 0.9-1.1 |
Drug to prevent transplant rejection – (p. 302) | - Antirejection drug. suppresses the cells and factors of the immune system that are responsible for rejection of transplanted tissues and organs by the patient’s body. |
Immunosuppressant – adverse effects (p. 304) | - Increase risk for cancer development - Phlebitis and thrombosis at admin site - Imbalance of potassium,phosphorus and magnesium |
Plavix – early signs of bleeding (p. 281, Safety Alert) | -Easy bruising of knuckles, elbows, -New or excessive bleeding of gums, -Blood in urine/stool -Tarry colored stool -Tachycardia, -Hypotension, -SOB -GI pain. |
Antidote for heparin overdose (p. 285) | -Protamine sulfate |
ESAs (erythropoiesis-stimulating agents) adverse reactions (p. 289) | - high risk for hypertension , blood clots, Stroke, and MI(heart attack) - increased tumor growth - severe allergic reaction |
Diet for patient on anticoagulant therapy (p. 280) | - Limit amount of green, leafy vegetables because they are a natural source of vitamin k that can reduce the effect of warfarin. |
Epoietin alfa (Epogen) – drug class (p. 289) | - Erythropoiesis stimulating agents: induce bone marrow to increase the production of red blood cells and some other blood cells |
Live virus vaccination – contraindication (p. 301) | - Immunocompromised or residing with a person who is immunocompromised - Individuals who are unvaccinated - People who show a severe allergic reaction to flu vaccine |
Sandimmune – contraindicated solution when mixing (p. 305) | - Do not mix with water |
Fibrinolytics – purpose (p. 287) | - Dissolve and break down existing blood clots. |
Antidote for warfarin overdose (p. 285-286) | - Vitamin k antagonist |
Timing of fibrinolytic for a stroke (p. 287) | - Most helpful if given within the first hour of symptoms - If given within three hours it will allow to dissolve the clot and return blood flow |