Blood Clotting Meds Flashcards

1
Q

Lovenox (Enoxaparin)

A

Low molecular weight heparins

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2
Q

Antidote for heparin

A

Pritamine sulfate

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3
Q

Adverse effect of heparin

A

HIT- heparin induced thrombocytopenia

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4
Q

Anticoagulant that treats HIT

A

Argatroban

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5
Q

True or false: lovenox should be given in the arm

A

False: it’s given subQ in love handles

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6
Q

TSOAs- target specific oral anticoagulants

  • Argatroban
  • bivalirudin
A

Direct thrombin inhibitors

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7
Q

Factor Xa inhibitors

A
Dabigatran Etexilate (Pradaxa)
Apixaban (Eliquis(
Rivaroxaban (xarelto)
Edoraxaban (edoxaban)
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8
Q

Prevents clot formation (combined with aspirin) in patients with unstable angina who are undergoing coronary angioplasty

A

Bivalirudin (Angiomax)

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9
Q

Indicated to treat HIT

A

Argatroban

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10
Q

Anticoagulant used in emergencies

A

Heparin

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11
Q

Oral anticoagulant with delayed onset

A

Warfarin

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12
Q

What is used for monitoring treatment of warfarin

A

PT and INR (2-3 therapeutic range )

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13
Q

Adverse effects of Warfarin

A

Hemorrhage

Warfarin induced skin necrosis

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14
Q

Used for Warfarin overdose

A

Vitamin K

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15
Q

Which type of heparin is less likely to hemmorage

A

Low-molecular weight heparin

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16
Q

Direct thrombin inhibitors are given to patients who develop HIT, Given with antiplatelets,

A

True

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17
Q

Clotting factor inhibitor

A

Warfarin

18
Q

Vitamin K in strictly prohibited when taking warfarin

A

False- dietary must be consistent

19
Q

Would you question Order of a 20 hour postpartum patient?

A

Yes, thrombolytics are contraindicated in women 24 hr postpartum

20
Q

PreVENTION of DVT

Prevention of ischemic complications: unstable angina and MI

A

Low molecular weight heparin

21
Q

SubQ heparin injection

A

Low molecular weight heparin

22
Q

When is only time heparin and warfarin is giving simoustanously

A

When weaning off heparin

23
Q

Should u get your labs done daily when patient heparin is d/c and pt is on Eliquis

A

No, not as much
Besides this medication don’t have labs to monitor.
However you still want coag labs done

24
Q

Heparin most pertinent lab

A

aPTT

25
Q

Therapeutic aPTT range

A

60-80 secs

26
Q

Antiplatelets

A

Prevent atrial thrombus

27
Q

Warfarin is a clotting factor synthesis inhibitor

A

True

28
Q

Oral antiplatelets

A

Plavix, aspirin , pletal

29
Q

IV antiplatelets

A

Repro, integralin, aggtrastat

30
Q

Adverse effect is tinnitus

A

Aspirin

31
Q

Lab to check after administering antiplatelets

A

Platelet count

32
Q

Pt teachings for antiplatelets

A

Take with meals
Treatment may be life long
Avoid aspirin or NSAID OTC meds
Avoid alcohol

33
Q

Clot buster

A

Thrombolytics

34
Q

Should you question an order of IM med after thrombolytics are administered?

A

Yes, all IV , catheters, and invasive procedures should be done before administering

35
Q

Adverse effects of thrombolytics

A

Hemmorage, fever, chest tightness, chills, Soa

36
Q

Contraindication of thrombolytics during first 5 months of prego

A

Increase risk for miscarriage

37
Q

Colony stimulating factors med given to renal failure patients

A

Epoetin and darepoetin- hence erythrocyte growth factors

38
Q

Granulocyte colony stimulating factor

Fligrastim and pegfligrastim are given to whom

A

Chemo pts

39
Q

S/e: increased vicious blood-> raised BP
INCREASE formation of clots
Slow movement through small vessels

A

Colony stimulating factors

40
Q

Pt teaching of colony stimulating factors

A

Daily weight
Report signs of abnormal clotting
Report to ER for signs of of heart attack or stroke
Self-injection technique