DRUGS Flashcards

1
Q

what type of drug is aspirin

A

anti-platelet

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2
Q

mechanism of action of aspirin

A

inhibits cyclo-oxygenase

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3
Q

when should you stop aspirin before an elective opertation

A

7 days prior

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4
Q

how do you reverse effects of aspirin in serious bleeding

A

platelet transfusion

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5
Q

what type of drug is clopidogrel

A

anti-platelet

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6
Q

mechanism of action of clopidogrel

A

ADP receptor antagonists

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7
Q

when should you stop clopidogrel before operations

A

7 days

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8
Q

mechanism of action of dipyridamole

A

Phosphodiesterase inhibitor - increases production of cAMP which inhibits platelet aggregation

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9
Q

what type of drug is heparin

A

anti-coagulant

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10
Q

how quickly is the effect of heparin

A

immediately

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11
Q

how do you monitor unfractioned heparin

A

APTT

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12
Q

how do you reverse heparin in severe bleeding

A

protamine sulphate

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13
Q

mechanism of action of warfarin

A

inhibit vitamin K
-factors II, VII, IX and X require vitamin K

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14
Q

how do you monitor warfarin

A

INR

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15
Q

warfarin reversal

A

-omit warfarin dose
-administer oral vit K (works in 6 hours)
-administer clotting faactors
-clinical and laboratory assessment of response

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16
Q

examples of new anticoagulants

A

-dabigatran
-rivaroxaban
-apixaban