Exam 2, Anticoagulant drug CIS, martin Flashcards

1
Q

What is PT

A

prothrombin time for extrinsic pathway

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2
Q

What is INR for warfarin therapy

A

2-3

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3
Q

what is aPTT

A

activated thromboplastin time

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4
Q

Are DVTs red clots or white clots

A

red

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5
Q

What tests shoul dbe performed before DVT Tx

A

Hct, PT, aPTT, platelet count and stool sample for occult blood

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6
Q

why do you use heparin to help with a DVT

A

because thrombolytic could lead to serious bleeding

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7
Q

With a DVT, how would you administer heparin

A

loading dose to get levels up fast then constant rate

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8
Q

with active pulm embolism what therapy is immediately started

A

heparin therapy for 5 days

warfarin inditiated day 1 and continued 3-6 months

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9
Q

What does INR stand for

A

international normalization ratio

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10
Q

With patient in A fib what threapy should you initiate? and for how long until cardioversion procedure

A

anticoagluant because risk of embolism from A fib is very high
low intesnsity warfarin theraphy to an INR 2-3
3 weeks prior to cardioversion

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11
Q

What is the antiplatelet agent of choice in patients with vascular disease of any origin

A

aspirin

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12
Q

what drug acts by being an agonist for peroxisome proliferator-activated receptor alpha

A

fibrate

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13
Q

what genetic changes incholesterol pathway are expected with statin therapy

A

increased expression LDL R because overall decrease of cholesterol intracellularly

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14
Q

how do statins work on VLDL

A

decrease expression

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15
Q

after taking a stain for one week paitent complains of leg and arm pain, what could acount for this

A

increased creatine kinase

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16
Q

what cholesterol absorption inhibitor can be prescribe with atovastatin to further decrease LDL levels

A

ezetimibe

17
Q

fibrates are most effective for elevation in what: TG or LDL?

A

TG elevation

18
Q

what is most common side effect of niacin

A

skin rash

19
Q

how do you prevent niacin skin rash side effect

A

prophylactic ibuprofen

20
Q

how do you calculate percentage decrease of LDL levels

A

(original minus current) / original

21
Q

what is a precaution of bile acid sequesterants when patient is on other medication

A

have to separate administeration time of 4 hours because bile acid one can sequester the other drug