Clopidogrel Flashcards

1
Q

What is the classification of clopidogrel?

A

Clopidogrel is classified as an antiplatelet medication.

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2
Q

What is the usual adult dosage of clopidogrel for the prevention of cardiovascular events?

A

The usual adult dosage is 75 mg orally once daily.

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3
Q

What is the primary action of clopidogrel?

A

Clopidogrel inhibits platelet aggregation by blocking the ADP receptor on platelets.

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4
Q

True or False: Clopidogrel is indicated for the treatment of acute coronary syndrome.

A

True.

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5
Q

Fill in the blank: Clopidogrel is often prescribed after ________ to prevent thrombosis.

A

stent placement

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6
Q

What are the common adverse effects of clopidogrel?

A

Common adverse effects include bleeding, bruising, and gastrointestinal upset.

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7
Q

What serious adverse effect is associated with clopidogrel?

A

Thrombotic thrombocytopenic purpura (TTP) is a serious adverse effect.

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8
Q

What drug interaction should be monitored when a patient is on clopidogrel?

A

The interaction with proton pump inhibitors (PPIs) should be monitored.

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9
Q

True or False: Clopidogrel can be used in combination with aspirin.

A

True.

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10
Q

What should be considered before starting clopidogrel in a patient?

A

Consider the patient’s risk of bleeding and liver function.

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11
Q

What is the mechanism of action of clopidogrel?

A

Clopidogrel is a prodrug that requires metabolic activation to inhibit the P2Y12 receptor on platelets.

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12
Q

Multiple choice: Which of the following is NOT an indication for clopidogrel? A) Stroke prevention B) Post-myocardial infarction C) Hypertension D) Peripheral artery disease

A

C) Hypertension

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13
Q

What is the loading dose of clopidogrel in acute coronary syndrome?

A

The loading dose is typically 300 mg to 600 mg orally.

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14
Q

Fill in the blank: Clopidogrel is often used in patients with ________ to reduce the risk of heart attack.

A

atherosclerosis

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15
Q

What monitoring is recommended for patients on clopidogrel?

A

Monitoring for signs of bleeding and regular blood counts.

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16
Q

True or False: Clopidogrel is contraindicated in patients with active bleeding.

17
Q

What is a potential effect of clopidogrel on platelet function?

A

Clopidogrel can lead to prolonged bleeding time.

18
Q

What dietary consideration should patients on clopidogrel be aware of?

A

Patients should avoid excessive intake of garlic and ginkgo biloba, which may increase bleeding risk.

19
Q

What is the effect of clopidogrel on cardiovascular events?

A

Clopidogrel reduces the risk of myocardial infarction and stroke.

20
Q

What is the duration of action of clopidogrel?

A

The duration of action is approximately 5 to 7 days after discontinuation.

21
Q

What is a key consideration regarding the genetic variability of clopidogrel?

A

Some patients have genetic polymorphisms affecting the metabolism of clopidogrel, impacting its efficacy.

22
Q

What is the recommended action if a patient experiences major bleeding while on clopidogrel?

A

Discontinue clopidogrel and manage the bleeding appropriately.

23
Q

Multiple choice: Which of the following is a contraindication for clopidogrel? A) History of TTP B) Diabetes C) Hypertension D) Hyperlipidemia

A

A) History of TTP

24
Q

What is the impact of clopidogrel on platelet aggregation?

A

Clopidogrel significantly reduces platelet aggregation.

25
Fill in the blank: Clopidogrel is often used in combination with ________ for dual antiplatelet therapy.
aspirin