The nurse understands that the primary indications for use of glycoprotein IIb/IIIa-receptor antagonists are
a. to dislodge venous thrombi and to treat arterial stenosis.
b. to prevent clots in intravascular devices and to prevent strokes.
c. to enhance the effects of heparin and for aspirin-allergic patients.
d. for acute coronary syndromes and percutaneous coronary interventions.
ANS: D
The GP IIb/IIIa antagonists are used short term to prevent ischemic events in patients with acute coronary syndromes (unstable angina and non–Q wave MI) and those undergoing percutaneous coronary intervention.
The GP IIb/IIIa antagonists do not dislodge venous thrombi or treat arterial stenosis.
The GP IIb/IIIa antagonists are not indicated to prevent strokes and clotting.
The GP IIb/IIIa antagonists do not enhance the effect of heparin, nor are they used for aspirin-allergic patients.
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