Anticoagulant Flashcards
It is a polysaccharide present in mast cells and carry negative charge
Heparin
Has a high molecular weight 30000 Dalton
Heparin
Drug that can’t be taken orally
Heparin
Can’t cross BBB and Placenta
Heparin
Rapid onset and short duration (60 min)
Heparin
Used in emergency
Heparin
Drug that activate antithrombin 3
Heparin
Drugs that inhibit clot factor 10
Heparin
Fondaparinux
Rivaroxaban
It is an oral inhibitor of factor 10
Rivaroxaban
Antidote of heparin is …
Protamine sulfate
For control of therapy it should be kept 2-3times of it’s normal value
Heparin
Warfarin
Bleeding, induced thrombocytopenia, hematoma, osteoporosis and alopecia are adverse effects of which drug ?
Heparin
Has low molecular weight
Enoxaparin
Has more specific anti factor 10 activity
Enoxaparin
Has low non specific binding to plasma proteins
Enoxaparin
High bioavailability after s.c. injection
Enoxaparin
Long half life given only once
Enoxaparin
Thrombocytopenia is less common when the patient take this drug
Enoxaparin
Low risk of bleeding
Enoxaparin
Aptt essential lab monitoring
Unfractionated heparin
Extent inhibitor of.factor 10
Lab monitoring may be unnecessary
Enoxaparin
Synthesic pentsaccharide drug
Fondaparinux
It is a selective inhibitor of factor 10
Fondaparinux
Given by S.C. injection once daily
Fondaparinux
It is an oral inhibitor of factor 10
Rivaroxaban
Oral drug that inhibit factor 2
Direct thrombin inhibitors
( Dabigatran)
Used in treatment of heparin induced thrombocytopenia
Direct thrombin inhibitors ( dabigatran)
Drug that has good bioavailability (100%)
Warfarin
It is highly bound to the plasma proteins
Warfarin
It is biotransformed by hepatic CYP450
Warfarin
Drug that monitored by Prothrombin time and international normalized ratio
Warfarin
Antidote of warfarin is
Vitamin K1
It is an inhibitor of vitamin k .. reductase
Warfarin
Drug monitored by activated partial thromboplastin time (APTT)
Heparin
It is an anticoagulant in vivo and vitro
Heparin
It is an anticoagulant in vivo only
Warfarin
It is a plasminogen activator and fibrin selective drugs
Alteplase
The following uses are for which drug
Acute coronary syndrome
Pulmonary embolism
Arterial thrombosis
Alteplase ( fibrinolytic drugs)
From side effects of fibrinolytic is systemic bleeding
What should we give the patient to antagonize this adverse effect,
Antagonized by
Aminocaproic acid and tranexamic