A patient with a comorbidity of paroxysmal nocturnal hemoglobinuria is admitted for a total knee replacement. The nurse caring for this patient makes sure that what medication is ordered?
A) Anticoagulants
B) Narcotics
C) Anti-infectives
D) Beta-blockers
Ans: A
Feedback: In total knee replacement patients narcotics and anti-infectives are often administered. However, in a patient with paroxysmal nocturnal hemoglobinuria anticoagulants are the primary medication to be administered. PNH is characterized by intravascular hemolysis, cytopenia, frequent infections, bone marrow hyperplasia, and a high incidence of life-threatening venous thrombosis. Beta-blockers would not be administered.
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