Exam 14: Drugs Affecting the Hematologic System

You are assessing a patient who is on long-term warfarin (Coumadin) therapy who has been diagnosed with a warfarin overdosage. What drug would you anticipate would be needed as the antidote for warfarin overdose?

The aPTT of a patient who is prescribed continuous intravenous (IV) heparin is two times the control value. What is your best action?

A patient has been prescribed a fibrinolytic drug. What response to the patient best describes the action of this class of drug?

Which statement made by a patient with a recent coronary artery stent placement who is taking clopidogrel informs you that the patient requires further teaching about this drug?

A patient taking a direct thrombin inhibitor (DTI) tells you he is going on vacation and will be taking his anticoagulant drug with him. What advice should you give to this patient related to this specific class of drugs?

A patient prescribed an anticoagulant asks you about potential drug interactions with this new drug. Which of the following drugs would you advise this patient to avoid while taking anticoagulants?

What signs or symptoms would you expect to see in a patient who develops bleeding as a result of anticoagulant therapy? (Select all that apply.)

You are teaching a patient who has been prescribed apixaban (Eliquis) about symptoms of drug overdose. What symptom should you alert the patient to report?

You are preparing to give an injection of an erythropoietin stimulating agent to a patient. The patient asks you to explain the expected side effects of this injection. What is your best response?

A patient who is taking an anticoagulant informs you that the herbal supplement St. John's wort is taken daily for depression. What should you teach the patient about the use of herbal supplements with anticoagulant therapy?

A patient is suspected of having an overdose of heparin. What drug should you prepare for the healthcare provider to give?

A patient is brought to the hospital with chest pain and shortness of breath is suspected of having an acute MI. Which assessment is a priority for this patient with a suspected acute MI who may be given a fibrinolytic drug as treatment?

A patient taking an oral anticoagulant has had an international normalized ratio (INR) drawn to check the therapeutic drug response. Which range represents the therapeutic INR range for a patient taking an oral anticoagulant?

Which statement about fibrinolytic drugs is true?

An older patient who takes a daily NSAID for arthritis pain has been prescribed aspirin as an antiplatelet agent. What information regarding risks associated with aspirin use should be included in this teaching plan?

A patient with a history of deep vein thrombosis is prescribed subcutaneous heparin before surgery. The patient asks you if the heparin can be taken orally instead of by injection. What is your best response?

A young mother who is breast-feeding now requires treatment with heparin. The patient asks you if she should continue breast-feeding during her treatment. What is your best response?

You are reviewing the laboratory values of an outpatient who is on anticoagulant therapy. The laboratory tests show a less than desired level of anticoagulation. The patient states that the drug has been taken as prescribed. Which food would you advise the patient to avoid while on anticoagulant therapy?

What category of anticoagulant drugs works by increasing the amount of the protein antithrombin III?

Which symptom when reported by a patient taking aspirin alerts you to a possible adverse reaction to the drug?