Fibrinolytic drugs Flashcards

1
Q

What are they indicated for?

A

Acute ischaemic stroke
ST-elevation acute coronary syndrome
Massive PE

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2
Q

What is the mechanism of action of these drugs?

A

Catalyse the conversion of plasminogen to plasmin

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3
Q

What are the side effects of these drugs?

A

Nausea
Vomiting
Bruising
Hypotension

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4
Q

What adverse effects can occur which require these drugs to be stopped?

A

serious bleeding
allergic reaction
cardiogenic shock
Cardiac arrest

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5
Q

What are the warnings for this drug class?

A

Contraindicated in bleeding
Previous streptokinase treatment

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6
Q

What drugs interact with this class?

A

Anticoagulants and antiplatelets- bleeding
ACEi increase risk of anaphylactoid reactions

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7
Q

What drugs are in this class?

A

Alteplase
Streptokinase

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