clot lysis Flashcards

1
Q

examples of GPIIb/IIIa antagonists

A

eptifibatide
tirofivan
abciximab

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2
Q

eptifibatide

A

cyclic heptapeptide inhibitor

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3
Q

tirofivan - what, use

A
  • non-peptide inhibitor used like older drug heparin
  • for prevention of myocardial infarction if angina, and recent MI
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4
Q

abciximab - what, use

A
  • mAb against receptor
  • also binds vitronectin on platelets (cell adhesion), endothelial cells + vascular smooth muscle cells
  • used for coronary angioplasty for coronary artery thrombosis
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5
Q

heparin - produced by, action

A
  • by basophils and mast cells
  • binds to AT-III > conformational change > inactivated thrombin and factor Xa
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6
Q

name a LMW heparin

A

dalteparin

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7
Q

warfarin inhibits synthesis of

A
  • clotting factors 2, 7, 9, 10
  • regulatory factors proteins C, S, Z
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8
Q

other drugs

A
  • dabigatran
  • rivaroxaban
  • apixaban
  • edoxaban
  • fondaparinux
  • agratroban
  • bivalirudin
  • danaparoid

DR Annoying Earphones Found Amy’s Blind Dad

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9
Q

dabigatran

A

inhibits thrombin

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10
Q

inhibit factor Xa

A
  • rivaroxaban
  • apixaban
  • edoxaban
  • fondaparinux (indirect)
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11
Q

argatroban

A

direct thrombin inhibitor (for HIT)

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12
Q

bivalirudin

A

thrombin inhibitor

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13
Q

danaparoid

A

indirect inactivator of Xa, direct inhibitor of thrombin activation of factor IX (for HIT)

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