EXAM 2 PROTOTYPE QUIZ

apartment ambience (only hematologic and respiratory, no cardiac)

I can help to prevent infection. I can cause leukocytosis, bone pain, and acute respiratory distress syndrome. It is important that the nurse monitor the patient’s CBC. I am given by injection only.

filgrastim

I am given to patients that have a low RBC. It is important that the nurse monitor the patient’s Hgb/Hct and blood pressure. I am given by injection only.

epoetin alfa

I help to break down blood clots. My administration is very time sensitive. I am considered a high-risk drug. It is important that the nurse monitor neurological status, minimize invasive procedures, and lay the patient flat. My antidote is aminocaproic acid.

alteplase (tPA)

I decrease platelet aggregation and may cause thrombotic thrombocytopenia purpura (TTP). Anticoagulants are contraindicated. I should be discontinued 1 week before any surgical procedure.

clopidogrel

I may cause green or black stools and can stain the teeth. Vitamin C can increase my absorption. Antacids can impair my absorption. I am best absorbed on an empty stomach. Deferoxamine is my antidote.

ferrous sulfate

I help cells synthesize DNA. I can mask Vitamin B12 deficiency. I may cause the urine to turn a bright yellow color

folic acid

I help to reduce the risk of bleeding. I can rarely lead to serious brain tissue damage. I can be given prophylactically or PRN.

factors VIII and IX

I am given to patients with pernicious anemia. I can cause hypertension. It is important to monitor K levels. A Schilling test should be performed before giving me PO.

cyanocobalamin

It is important that the nurse monitor I&Os and Na levels. The patient should restrict their fluid intake. I am only given intranasally or by IM injection. Patients with hypertension and heart failure need to be cautious taking me

desmopressin

I can be used to treat a CVA, PE, or DVT. It is important that the nurse monitor for bruising or bleeding and instruct the patient to use a soft toothbrush and electric razor. I can cause thrombocytopenia. It is important to monitor aPTT levels. My antidote is protamine sulfate.

heparin/enoxaparin

decrease platelet aggregation. I can cause salicylism. I can cause Reye’s syndrome. I can lead to GI ulcerations. I need to be discontinued 1 week before any surgical procedure. I should not be taken during pregnancy.

aspirin

I am given PO. I help to prevent clot formation. The nurse needs to monitor the patient’s PT/INR levels. Patients should avoid ingesting excessive amounts of leafy green vegetables. Vitamin K is my antidote

warfarin

This medication deals with mucous. Has a rotten egg smell. Need to check to see client’s ability to cough and remove secretions due to the secretions being increased. Equipment for nebulization should be cleaned after each use. Antidote for acetaminophen overdose.

acetylcystiene

Medication used for bronchodilation. Not for acute asthma exacerbation. Used for COPD. Can cause dry mouth and not good for a person with narrow-angle glaucoma.

ipratopium

Works on decreasing bronchoconstriction and inflammation. Might cause adverse neuropsychiatric symptoms like suicidal thoughts or behaviors. This prototype does not cause liver damage like others in the same class.

montelukast

This medication works on upper respiratory disorders. Similar to anticholinergic drugs. Can cause drowsiness and dizziness. Effective for allergic reactions.

diphenhydramine

Works well for upper respiratory issues. Causes vasoconstriction which leads to opening up the nasal passages and relieving nasal congestion. Overuse of nasal application can cause rebound congestion. Can cause increase in heart rate and blood pressure.

phenylephrine

Used for long-term management of asthma. Has a narrow therapeutic level. Can lead to problems like restlessness, insomnia, and more serious issues like dysrhythmias. Client should reduce or eliminate their caffeine intake

theophylline