Coagulation Disorders Flashcards
Describe Physiology of Blood clotting
Describe Physiology of thrombolysis
Easy stages of Blood coagulation
- Vasoconstriction 2. formation of the platelet plug 3. activation of the coagulation cascade 4. Clot retraction and repair 5. Fibrinolysis
Excessive clotting can lead to
conditions like DVT
Inadequate clotting can results in
Excessive bleeding
Explain the mechanism of action of Heparin
Heparin enhances the activity of antithrombin III, an enzyme
inhibitor that deactivates thrombin and other proteases involved
in blood clotting
Explain the mechanism of action of Warfarin
Explain the mechanism of action Dabigatran
Directly inhibit the activity of thrombin (Factor IIa), a key enzyme in the blood clotting process. By inhibiting thrombin, these drugs reduce the risk of blood clots
Explain the mechanism of action A-pix-a-ban
Factor Xa inhibitors work by selectively inhibiting the activity of Factor Xa, which is a crucial enzyme in the coagulation cascade. By doing this, they disrupt the conversion of prothrombin to thrombin, thereby decreasing clot formation
Explain the mechanism of action Al-te-plase
Thrombolytics are drugs that dissolve blood clots (thrombi) that
have inappropriately formed in blood vessels.
What are the common side effects of Warfarin
Hemorrhage, Teratogenesis, especially during the first trimester
What are the common side effects of Heparin
Bleeding or Hemorrhage, Thrombocytopenia (low platelet count), Osteoporosis with long-term use. Hypersensitivity reactions
What are the common side effects of Da-big-atran
Bleeding and GI side effects
What are the common side effects of A-pix-a-ban
Bleeding, pain in limbs, abdomen, headache, dizziness
What are the common side effects of Al-te-plase
Bleeding, allergic rxn, re-occlusion