PHARMACOLOGY FOR THE NCLEX -RN

PHARMACOLOGY FOR

THE NCLEX-RN

MUST KNOW DRUGS

NCLEX-RN Need to Know Medications

NCLEX-RN Need to Know Medications

ALTEPLASE

•MOA

–thrombolytic –plasminogen activator •Indications –MI –Acute ischemic stroke –Occluded Central lines •Nursing Considerations –Contraindicated in active bleeding –Monitor for active bleeding (q15m x 1hr; q15-30m x 8hr) –May cause intracranial hemorrhage –Monitor for anaphylaxis –Use caution with uncontrolled hypertension –Assess neuro status during therapy NCLEX-RN Need to Know Medications

A patient is admitted to the emergency department with chest pain. An electrocardiogram shows changes consistent with an evolving myocardial infarction. The patient’s cardiac enzymes are pending. The nurse caring for

this patient will expect to:

A.administer aspirin when cardiac enzymes are completed.B.give alteplase[Activase] within 2 hours.C.give tenecteplase[TNKase] immediately.D.obtain an order for an INR.NCLEX-RN Need to Know Medications