Which product is the antidote for digitalis toxicity?
Gamma globülin
Cardizem
Protamine
Digoxin immune fab
The Correct Answer is D
A) Gamma globulin
Gamma globulin is a blood product used to provide passive immunity by supplying antibodies to prevent or treat certain infections. It is not used for digitalis toxicity, so A is incorrect.
B) Cardizem
Cardizem (diltiazem) is a calcium channel blocker primarily used for controlling heart rate and treating conditions such as atrial fibrillation or angina. It is not used as an antidote for digoxin toxicity, so B is incorrect.
C) Protamine
Protamine is a medication used to reverse the effects of heparin, an anticoagulant. It works by neutralizing the anticoagulant activity of heparin, but it is not used to treat digitalis (digoxin) toxicity, so C is incorrect.
D) Digoxin immune fab
Digoxin immune fab is the specific antidote for digoxin toxicity. It consists of antibodies that bind to digoxin molecules, thereby neutralizing their toxic effects on the heart. This antidote is used when a patient exhibits severe symptoms of digoxin toxicity, such as arrhythmias or life-threatening effects on the heart. Therefore, D is the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A) Subcutaneous:
The subcutaneous route involves administering medication into the layer of fat and connective tissue beneath the skin. This method is used for drugs that require slower absorption, such as insulin or certain vaccines.
B) Intramuscular:
The intramuscular route involves injecting medication directly into a muscle. This allows for faster absorption compared to subcutaneous injections, making it ideal for drugs that need to be absorbed quickly, such as vaccines or certain antibiotics.
C) Via a nasogastric tube:
Administering drugs via a nasogastric tube is not considered a parenteral route. The nasogastric (NG) tube delivers medications directly into the stomach via the gastrointestinal tract, which is not part of the parenteral system. Parenteral routes are those that bypass the digestive system, like injections.
D) Intradermal:
The intradermal route involves injecting medication just under the skin, in the dermis. This is typically used for allergy testing or tuberculosis screenings. It is a parenteral route because it bypasses the digestive system.
E) Intravenous:
The intravenous route involves injecting medication directly into a vein, offering rapid absorption and fast onset of action. This method is ideal for critical or emergency situations where immediate medication effects are necessary.
Correct Answer is ["B","C","D","E"]
Explanation
A) Anticoagulants:
Anticoagulants, such as warfarin, heparin, and direct oral anticoagulants (DOACs), are specifically designed to prevent the formation of blood clots or to treat existing clots. They work by interfering with various stages of the clotting cascade, either by inhibiting clotting factors or by enhancing the effects of natural anticoagulants in the body.
B) Antihypertensives:
Antihypertensives, such as ACE inhibitors, beta blockers, and calcium channel blockers, are used to lower high blood pressure by relaxing blood vessels, reducing heart rate, or decreasing fluid retention. While antihypertensives can reduce the overall strain on the heart and blood vessels, they do not have an impact on the clotting process and are not designed to interfere with blood coagulation.
C) Antibiotics:
Antibiotics, such as penicillin or amoxicillin, target bacteria and prevent their growth or kill them, but they do not affect the clotting mechanisms in the blood.
D) Antipyretics:
Antipyretics, such as acetaminophen (Tylenol) or ibuprofen, work by lowering the body's set point temperature in the hypothalamus, helping to relieve fever. They do not affect the clotting cascade or the ability of blood to form clots, so antipyretics are a correct answer.
E) Antiemetics:
Antiemetics, such as ondansetron or metoclopramide, are used to prevent or treat nausea and vomiting. They primarily work by blocking the receptors in the brain that trigger nausea and vomiting but do not have an effect on the clotting process. Thus, antiemetics are a correct answer.
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