Anti-Clotting Drugs Flashcards

1
Q

how does heparin and LMWH work?

A

utilizing anti thrombin they inhibit action of thrombin and factor Xa

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2
Q

how must heparins be administered?

A

IV or sub Q due to large molecular weight

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3
Q

what does fondaparinux target and inhibit?

A

factor Xa

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4
Q

name the two other thrombin inhibitors aside from heparin that are administered IV or SubQ?

A

argatroban and bivalirudin

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5
Q

name the thrombin inhibitor that is administered orally?

A

dabigatran

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6
Q

name the three factor Xa inhibitors taken orally

A

APixaban
Rivaroxaban
Edoxaban

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7
Q

how does warfarin work?

A

vitamin K reductase inhibition so decreases factor 2,7,9,10 and protein C/S….

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8
Q

what must you do with warfarin treatment?

A

heparin bridge

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9
Q

can you give warfarin when pregnant?

A

NO

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10
Q

what molecule does aspirin prevent production of that plays key role in platelet activation?

A

thromboxane 2

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11
Q

name the three P2Y12 inhibitors

A

clopidogrel
prasugrel
ticagrelor

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12
Q

what molecule do P2Y12 inhibitors affect that decreases platelet activation?

A

ADPases

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13
Q

name the three GPIIb/IIIa inhibitors

A

abciximab
eptifibatide
tirofiban

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14
Q

explain the mechanism of GPIIb/IIIa inhibitors

A

they prevent the platelets from aggregating with each other

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15
Q

what does tissue plasminogen activator do?

A

breaks up clots by activating plasminogen into plasmin

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16
Q

name the drug that activates tissue plasminogen factor and what is this drug class called?

A

alteplase…fibrinolytics

17
Q

how is alteplase administered?

A

IV

18
Q

how to give clopidogrel, prasugrel and ticagrelor?

A

orally

19
Q

what is unique about clopidogrel?

A

it has to be activated in the body before it is functional

20
Q

what drug reverses heparin?

A

protamine