Anticoagulants Flashcards

1
Q

What is the dose range for warfarin

A

-5-20mg initially, maintenance is 3-9mg daily.

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2
Q

What is the duration of DVT treatment with warfarin

A

6 months

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3
Q

What is the duration of VTE treatment with warfarin, provoked by an oral combined contraceptive

A

3 months

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4
Q

What is the duration of treatment of VTE with warfarin, caused by AF

A

6 months to Long term

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5
Q

What is the apixaban dose for recurrent VTE and prophylaxis following surgery

A

1) 2.5mg BD ✔
2) 5mg BD
3) 10mg BD for 7 days, then 5mg BD
4) 2.5mg OD

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6
Q

What is the apixaban dose for the treatment of VTE

A

1) 2.5mg BD
2) 5mg BD
3) 10mg BD for 7 days, then 5mg BD ✔
4) 2.5mg OD

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7
Q

What is the apixaban dose for non-valvular AF

A

1) 2.5mg BD
2) 5mg BD ✔
3) 10mg BD for 7 days, then 5mg BD
4) 2.5mg OD

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8
Q

Which factor would not require the non-valvular AF dose of apixaban to be reduce to 2.5mg BD

A

1) Over 80 years old
2) Less than 60KG
3) Creatinine clearance 15-29
4) Creatinine less than 133 ✔

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9
Q

What is the standard dose of edoxaban

A

1) 60mg BD
2) 60mg OD ✔
3) 30mg OD
4) 30mg BD

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10
Q

Which factor would not cause the dose of edoxaban to be reduced to 30mg OD

A

1) Less than 60KG
2) Crcl 15-50
3) Over 80 years old ✔
4) Taking concomitant PgP inhibitor

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11
Q

Which drug would not require the dose of edoxaban to be reduced, if taken at the same time

A

1) Verapamil
2) Amiodarone/dronedarone
3) Saint Johns Wort ✔
4) Ciclosporin
5) Erythromycin
6) Ketoconazole

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12
Q

What is the dose of rivaroxaban for prophylaxis after knee and hip surgery?

A

-10mg OD for 2 weeks (Knee) or 5 weeks (Hip)

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13
Q

What is the dose of rivaroxaban for VTE treatment?

A

-15mg OD for 21 days then20mg OD

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14
Q

What is the dose of rivaroxaban for VTE prophylaxis?

A

-10-20mg OD following 6 months of anticoagulation

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15
Q

What is the rivaroxaban dose for non-valvular AF with at least 1 risk factor?

A

-20mg OD

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16
Q

What is the rivaroxaban dose for atherothrombotic prophylaxis following MI?

A

-2.5mg BD (in combo with DAPT)

17
Q

What is the reduced rivaroxaban dose and when is it necessary?

A
  • 15mg OD

- High bleeding risk or Crcl 15-49

18
Q

What is the dose of dabigatran for non-valvular AF?

A

-150mg BD

19
Q

What is the reduced dose of dabigatran and when is it necessary?

A
  • 110mg BD

- Reduce if taking verapamil/amiodarone or over 80 years old

20
Q

What Crcl is dabigatran contraindicated under?

A

-30

21
Q

What anticoagulants are used in pregnancy?

A

-LMWH (enoxaparin, dalteparin, tinzeparin)

22
Q

Which anticoagulant is used in renal impairment?

A

-Unfractionated heparin

23
Q

Outline stroke treatment

A
  • Alteplase within 4.5hours once haemorrhage ruled out
  • Then aspirin 300mg OD for 14 days
  • Long term treatment is clopidogrel 75mg OD
24
Q

Outline initial TIA treatment

A
  • Aspirin 300mg stat

- Clopidogrel 75mg if aspirin contraindicated