Anti-Coagulants

Question 1

Heparin Onset

Answer 1

Less than an hour

Question 2

Heparin Short or long term

Answer 2

Short

Question 3

Heparin Routes

Answer 3

IV or SQ

Question 4

Heparin Labs to Watch

Answer 4

PTT (should be 1.5-2.5 times the control)

Question 5

Heparin antidote

Answer 5

Protamine sulfate

Question 6

Heparin Pregnancy safe?

Answer 6

Yes

Question 7

Heparin can it break down a clot?

Answer 7

NO

Question 8

Heparin potential compications

Answer 8

Heparin-induced thrombocytopenia (HTT)

Question 9

Warfarin onset

Answer 9

4 to 10 days

Question 10

Warfarin short or long term

Answer 10

Long

Question 11

Warfarin Routes

Answer 11

PO Only

Question 12

Warfarin Labs to watch

Answer 12

INR or PT (INR should be 2-3)

Question 13

Warfarin antidote

Answer 13

Vitamin K

Question 14

Warfarin pregnancy safe

Answer 14

NO

Question 15

Warfarin break down a clot?

Answer 15

NO

Question 16

Warfarin potential complications of drug

Answer 16

Coumadin induced necrosis

Question 17

NCLEX hints Anticoagulants

Answer 17

Some herbal meds interfere with them
Stop two weeks before surgery
Frequent blood draws in the begining

Question 18

Enoxaparin Indication and Route

Answer 18

Prevent DVT
SubQ or IV (not common)

Question 19

Enoxaparin Assessment

Answer 19

Make sure med is clear with no particles before injection. Monitor for signs of bleeding

Question 20

Enoxaparin Contraindications

Answer 20

Do not give if history of heparin-induced thrombocytopenia
Stop 24 hours before surgery
Don’t give with other blood thinners

Question 21

Enoxaparin benefits over Heparin

Answer 21

Considered a low molecular weight heparin (LMWH)
Once daily injection
No labs needed
Outpatient