Antianemics, hematopoietic, coagulants and thrombolytics Flashcards

1
Q

What are the two clotting pathways through fibrin mechanisms

A

Intrinsic and extrinsic

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2
Q

The intrinsic clotting pathway is sensitive to what as an anticlotting agent?

A

Heparin

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3
Q

What are side effects of heparin?

A

Hemorrhage, allergic reactions, osteoporosis and bone fractures

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4
Q

Intrinsic clotting pathways contact which factors?

A

XIa to Xa

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5
Q

What is the normal PTT time for intrinsic pathways?

A

25-35 seconds

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6
Q

What is PTT?

A

Partial thromboplastin time (Intrinsic)

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7
Q

What anti-clotting agent is typically used in hospitals?

A

Heparin

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8
Q

Extrinsic factors pathway works through what factors?

A

VIIa-Xa

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9
Q

Extrinsic pathways are measured how?

A

PT (Prothrombin time)/INR (international normalized ratio)

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10
Q

What is the normal PT in seconds and INR for an extrinsic pathway?

A

Normal PT is 11-13.5 seconds

Normal INR is 0.8-1.1

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11
Q

What are extrinsic pathways sensitive to?

A

warfarin (Coumadin)

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12
Q

When is oral warfarin prescribed?

A

Out patients

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13
Q

What are the common side effects of warfarin?

A

hemorrhage, numbness, pain, headache, dizziness

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14
Q

What is an alternative drug for warfarin with fewer side effects?

A

Dabigatran

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15
Q

Alternative drugs are (more/less) popular than warfarin or heparin.

A

More

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16
Q

Normal INR for the extrinsic pathway is what

A

.8 to 1.1