prepU lipid/anticoagulant

Pregnancy Serious hepatic disease Lactation

A nurse should be aware that use of statin drugs is contraindicated in clients with which conditions?

true

A patient with metabolic syndrome usually has increased plasminogen activator levels.

Gallbladder

After teaching a group of students about fats and biotransformation, the instructor determines that the teaching was successful when the students identify what as the storage location of bile acids?

thrombolytic drugs

An older adult client has been admitted to the emergency department with severe chest pain. Onset of symptoms is within the last 60 minutes. What medication would the nurse expect the health care provider to prescribe for this acute disorder?

hemophilia

Heparin is not used to treat this condition

Give two hours apart

How should cholestyramine and hydrocholorothiazide be administered?

Assess PT and INR, expect to administer vitamin K

The following are the actions to take when caring for a patient on Coumadin (warfarin)

LFTs

The health care provider prescribes fibrate for a client with elevated triglycerides. The client begins to self-administer niacin approximately 3 mg daily. What would the nurse expect the provider to order?

bile acid sequestrants

What anti-cholesterol med can potentially contribute to hemorrhoids?

Inhibits the formation of additional clots

What is the mechanism of action of Lovenox

cholestyramine (Questran)

What lipid lowering medication would be appropriate to administer to a pregnant patient?

rhabdomyolysis

When taken with grapejuice, Lipitor can cause ____________ in a renal failure patient

Hemophilia

Which genetic clinical condition will likely, over the course of the client's lifetime, require the pharmaceutical introduction of clotting factors to assure the client's safety?

protamin sulfate

A client exhibits signs and symptoms of heparin overdose. The nurse would anticipate administering:

"I will take the digoxin about an hour before the cholestyramine."

A client who is receiving cholestyramine also takes digoxin. The nurse teaches the client about the drug and administration. The client demonstrates understanding of the teaching when stating:

Liver, renal, lipid panel

Labs monitored in a pt taking HMG-CoA reductase inhibitor

The drugs are not interchangeable; have the pharmacy obtain the drug ordered."

The health care provider reorders dalteparin for the client. The pharmacy states that the drug is not available. The nurse calls the health care provider and asks if dalteparin can be replaced with another LMWH. What does the nurse expect to be the response?

Vitamin K

The nurse is caring for a 73-year-old client receiving warfarin. When the nurse performs the initial shift assessment, the nurse observes blood in the client's urinary drainage bag. After reporting the observation to the physician, which substance will the nurse likely administer?

1.3-1.5 times the control

Therapeutic level of prothrombin time for a patient taking warfarin is