McKenna's Pharmacology for Nursing, 2e - page 783

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P A R T 8
 Drugs acting on the cardiovascular system
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C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
Blood coagulation is a complex reaction that
involves:
a.
vasoconstriction, platelet aggregation and
plasminogen action.
b.
vasodilation, platelet aggregation and activation
of the clotting cascade.
c.
vasoconstriction, platelet aggregation and
conversion of prothrombin to thrombin.
d.
vasodilation, platelet inhibition, and action of the
intrinsic and extrinsic clotting cascades.
2.
Warfarin, an oral anticoagulant, acts:
a.
to directly prevent the conversion of prothrombin
to thrombin.
b.
to decrease the production of vitamin K clotting
factors in the liver.
c.
as a catalyst in the conversion of plasminogen to
plasmin.
d.
immediately, so it is the drug of choice in
emergency situations.
3.
Heparin reacts to prevent the conversion of
prothrombin to thrombin. Heparin:
a.
is available in oral and parenteral forms.
b.
takes about 72 hours to have a therapeutic effect.
c.
has its effects reversed with the administration of
protamine sulfate.
d.
has its effects reversed with the injection of
vitamin K.
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