Drugs for Coagulative Disorders (Part 02) Flashcards

1
Q

Anticlotting Drugs

A
  1. Anticoagulants
  2. Antiplatelets
  3. Thrombolytics
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2
Q

It is used to prevent the formation of clots.

A

Anticoagulants

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3
Q

It is used to inhibit platelet aggregation.

A

Antiplatelets

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4
Q

It is used to dissolve such life-threatening clots.

A

Thrombolytics

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5
Q

Drug/s that Facilitate Clotting

A

Hemostatics

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6
Q

It is used to speed clot formation, or to limit bleeding from surgical site.

A

Hemostatics

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7
Q

It is used to prevent the formation and enlargement of clots.

A

Anticoagulants

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8
Q

Example/s of Anticoagulants

A

• Warfarin (Coumadin)
• Heparin
• Low Molecular Weight Heparin

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9
Q

Action/s of Anticoagulants

A

• Inhibit certain clotting factors.
• Lengthen clotting time.
• Prevent thrombi from forming or growing larger.

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10
Q

Its MOA is to inhibit Vitamin K Synthesis

A

Warfarin

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11
Q

Its MOA is to activate Antithrombin III

A

Heparin

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12
Q

Oral or IV

(Warfarin or Heparin)

A

Warfarin

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13
Q

IV or SC

(Warfarin or Heparin)

A

Heparin

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14
Q

PT-INR

(Warfarin or Heparin)

A

Warfarin

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15
Q

APTT

(Warfarin or Heparin)

A

Heparin

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16
Q

Prophylactic for Acute MI

A

Warfarin

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17
Q

Prevention of Venous Thrombosis

A

Heparin

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18
Q

Antidote for Warfarin

A

Vitamin K

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19
Q

Antidote for Heparin

A

Protamine Sulfate

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20
Q

Other Name of Vitamin K

A

Antihemorrhagic Factor

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21
Q

Vitamin K-1
Vitamin K-2
Vitamin K-3

A

Phylloquinone
Menaquinone
Menadiol

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22
Q

Drug/s under LMWH

A

• Enoxaparin (Lovenox)
• Tinzaparin (Fragmin)
• Dalteparin (Innohep)

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23
Q

Anticoagulants of choice for treating pregnant women with prosthetic heart valves or venous thromboembolism.

A

• Enoxaparin (Lovenox)
• Tinzaparin (Fragmin)
• Dalteparin (Innohep)

24
Q

Anticoagulants under Direct Thrombin Inhibitors

A
  1. Lepirudin (Refludan)
  2. Argatroban
  3. Fondaparinux (Arixtra)
25
Polypeptide that is closely related to hirudin.
Lepirudin (Refludan)
26
Prophylactic for the treatment of thrombosis in patients with HIT.
Argatroban
27
First in new class of pentasaccharide anticoagulants that is purely synthetic.
Fondaparinux (Arixtra)
28
Most common and potentially serious adverse effect is bleeding.
Anticoagulants
29
Most common and potentially serious adverse effect is bleeding.
Anticoagulants
30
Anticoagulants under Indirect Thrombin Inhibitors
• Warfarin (Coumadin) • Heparin • Low Molecular Weight Heparin
31
Four (4) Primary Subclasses of Antiplatelets
1. Aspirin (Acetylsalicylic Acid) 2. ADP Receptor Blockers 3. Glycoprotein IIA/IIB Receptor Blockers 4. PDE Inhibitors
32
Irreversible inhibition of COX.
Aspirin (Acetylsalicylic Acid)
33
Prophylactic for transient cerebral ischemia and to reduce the incidence of recurrent MI.
Aspirin (Acetylsalicylic Acid)
34
A/E of Aspirin (Acetylsalicylic Acid)
1. Increased Incidence of Hemorrhagic Stroke 2. GIT Bleeding 3. Salicylism = Tinnitus
35
It is also known as Thienopyridines.
ADP Receptor Blockers
36
Irreversibly inhibit the binding of ADP to its receptors on platelets.
ADP Receptor Blockers
37
Drug/s under ADP Receptor Blockers
• Clopidogrel (Plavix) • Ticlopidine (Ticlid) • Prasugrel (Effient)
38
It is the preferred agent in ischemic heart disease events.
Clopidogrel (Plavix)
39
It causes Neutropenia / Agranulocytosis, Thrombotic Thrombocytopenic Purpura (TTP), and Aplastic Anemia.
Ticlopidine (Ticlid)
40
Drug/s under Glycoprotein IIA and IIB Blockers
1. Abciximab (Reopro) 2. Eptifibatide (Integrilin) 3. Tirofiban (Aggrastat)
41
A chimeric monoclonal antibody.
Abciximab (Reopro)
42
Drug/s under PDE Inhibitor
Dipyridamole
43
It is usually given in combination with aspirin or warfarin; it is ineffective when used alone.
Dipyridamole
44
Used to dissolve existing clots.
Thromobolytics
45
Three (3) Types of Thrombolytics
1. Streptokinase (Streptase) 2. Tissue Plasminogen Activator 3. Anistreplase
46
Protein from Streptococci
Streptokinase (Streptase)
47
Derived from Cultured Human Melanoma Cells
Tissue Plasminogen Activator
48
Anisoylated Plasminogen Streptokinase Activator Complex
Anistreplase
49
Used to promote the formation of clots.
Hemostatics
50
Drug/s under Hemostatics
1. Aminocaproic and Tranexamic Acid (Hemostan) 2. Aprotinin 3. Desmopressin Acetate
51
Inhibit Plasminogen Activation
Aminocaproic and Tranexamic Acid (Hemostan)
52
Potential S/E of Treatment is Intravascular Thrombosis
Aminocaproic and Tranexamic Acid (Hemostan)
53
It stops bleeding by blocking plasmin.
Aprotinin
54
Approved for prophylactic use to reduce perioperative blood loss and the need for blood transfusion in patients undergoing cardiopulmonary bypass sugery.
Aprotinin
55
This is the vasopressin V2 receptor agonist that increases the plasma concentration of von willebrand factor and factor VIII.
Desmopressin Acetate