Blood Drugs to Know and MOA Flashcards
protamine
tx of bleeding
Abciximab
Platelet Inhibitors
dalteparin
low molecular weight heparins ( anticoagulant)
these are all competitive , reversible inhibitors of thrombin
thrombin inhibitors
this platelet aggregration inh drug is a chimeric monoclonal Ab; binds to GP receptor and blocks binding of fibrinogen; very expensive ; adverse effect of bleeding
abciximab
warfarin ( Coumadin)
other anticoagulants
this thrombin inhibitor drug binds to antithrombin III ; leads to rapid inactivation of thrombin and factor Xa; Low molecular weights/antithrombin III complex only inactivates factor Xa
thrombin inhibitors - heparin
this anti bleeding med inhibits plasminogen activation
aminocaproic acid
rivaroxaban
anticoagulant ( Factor Xa inhibitor)
dabigatran ( pradaxa)
anticoagulant ( direct thrombin inhibitor)
this platelet aggre. inh inhibits phosphodiesterase III ; prevents degradation of cAMP; adverse effects of HA and GI effects ; CI in pts with CHF
cilostazol
reteplase
thrombolytic agents
darbepoetin
tx of anemia
these drugs prevent the binding of fibrinogen to the GP receptors on platelet surfaces ; inhibit cyclooxygenase 1 or block GP or ADP receptors
platelet aggregation inhibitors
these drugs all act either directly or indirectly to convert plasminogen to plasmin; as clot dissolves It can attract free platelets and cause further thrombosis
thrombolytic drugs
this specific drug inhibits vitamin K epo-xide reductase ( enzyme that regenerates Vit K) ; takes hours to work and is reversible with Vit K admin
warfarin
Desirudin
anticoagulant ( direct thrombin inhibitor)
erythropoeitin
tx of anemia
these platelet aggreg. inh specific drugs also block the GP receptor ; IV only
Eptifibatide and Tirofiban
urokinase
thrombolytic agents
eptifibatide
Platelet Inhibitors
bivalirudin
anticoagulant ( direct thrombin inhibitor)
lepirudin
anticoagulant ( direct thrombin inhibitor)
tenecteplase
thrombolytic agents
argatroban
anticoagulant ( direct thrombin inhibitor)
this thrombolytic drug forms active complex with plasminogen ; used within 4 hours of MI ; bleeding disorders common and is a foreign protein
streptokinase
this anti bleeding med antagonizes agents that interfere with vitamin K
vitamin K
enoxaparin
low molecular weight heparins
aminocaproic acid
tx of bleeding
ticagrelor
Platelet Inhibitors
tirofiban
Platelet Inhibitors
this platelet aggre. inh drug is a coronary vasodilator; it increases cAMP levels ; good in combo with other meds
dipyridamole
these drugs either inhibit the action of coagulation factors or interfere with the synthesis of the coagulation factors
anticoagulants
pentoxifylline
tx of sickle cell
prasugrel
Platelet Inhibitors
this thrombolytic drug binds to fibrin and converts tissue plasminogen to plasmin
tenecteplase
this drug inhibits COX-1 ( impedes platelet aggregation) ;
aspirin
hydroxyurea
tx of sickle cell
dipyridamole
Platelet Inhibitors
streptokinase
thrombolytic agents
ticlopidine
Platelet Inhibitors
clopidogrel ( Plavix)
Platelet Inhibitors
this thromboylytic drug is a product of recombinant tech; it rapidly activates plasminogen that is bound to fibrin in a thrombus; bleeding complications can occur; improved outcome if admin,. within three hours of ischemic stroke
alteplase
These drugs block ADP 2Y receptors ; inhibits expression of GP IIB/IIa receptors for fibrinogen
platelet aggregration inhibitors ( ticlopidine, Clopidogrel, Prasugrel, and Ticagrelor)
Aspirin
Platelet Inhibitors
alteplase
thrombolytic agents
fondaparinux
anticoagulant ( Factor Xa inhibitor)
this thrombolytic drug is produced by the kidneys; It directly cleaves the arginine- valine bond of plasminogen to yield plasmin; approved for lysis of pulmonary emboli
urokinase
heparin
other anticoagulants
this anti bleeding med antagonizes heparin
protamine