PT and INR are used to measure clotting times in patients who are taking Warfarin (Coumadin). It is important that the nurse collect an aPTT in 6 hours (some protocols may say 4 hours) after starting the drip. An activated partial thromboplastin time (aPTT) is used to measure clotting time in patients who are on Heparin. Collect an aPTT level in 6 hours per protocol. Collect a Troponin level in 6 hours per protocol.ĭ. Collect an INR level in 4 hours per protocol.Ĭ. Collect a PT level in 6 hours per protocol.ī. What will be your next important nursing action?Ī. You administer a bolus of Heparin and start the drip per protocol as ordered by the physician. Your patient is started on a Heparin drip. Option B and D are candidates from Heparin therapy because the patient in option B has a blood clot (Heparin can prevent it from getting bigger and developing new blood clots), and the patient in option D is at risk for developing a blood clot.Ĥ. These patients are both at risk for major bleeding if placed on an anticoagulant due to their condition (one patient is post-op from brain surgery and the other patient has ulcers that could bleed).

A 43-year-old female with uncontrolled atrial fibrillation. A 36-year-old male patient with active peptic ulcer disease.ĭ. A 45-year-old female patient with a pulmonary embolism.Ĭ.

A 55-year-old male patient who is post-op day 1 from brain surgery.ī. Which patients below would be at a HIGH risk for developing adverse effects of Heparin drug therapy? Select all that apply:Ī. Therefore, this medication INDIRECTLY inhibits thrombin via antithrombin III.ģ. Heparin enhances the activation of antihrombin III, which prevents the activation of thrombin and the conversion of fibrinogen to fibrin. “It enhances the activation of antihrombin III, which prevents the activation of thrombin and the conversion of fibrinogen to fibrin.” “It prevents Factor Xa from activating prothrombin to fibrinogen.”ĭ. “It inactivates the extrinsic pathways of coagulation.”Ĭ. “It inhibits clotting factors from synthesizing Vitamin K.”ī. Which statement below BEST describes how Heparin works as an anticoagulant?Ī. Heparin is an anticoagulant that belongs to the Indirect Thrombin Inhibitors family.Ģ. What family of anticoagulant medications does this drug belong to? Scroll down to see your results.) Heparin NCLEX Questions (Anticoagulation)ġ. (NOTE: When you hit submit, it will refresh this same page.

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