final lecture 6 Flashcards
anticoagulants
prevent clot formation
antiplatelet drugs
interfere with platelet activity
thrombolyte agents
dissolve existing thrombi
heparin brand
UFH
enoxaparin brand
lovenox
dalteparin brand
fragmin
fondaparinux brand
arixtra
warfarin brand
coumadin
dabigatran brand
pradaxa
apixaban brand
eliquis
rivaroxaban brand
xarelto
SCORE IT
surgery cancer/CV obesity respiratory failure elderly infection/inflammation/ICU trauma/thromboembolism
inferior vena cava (IVC) or greenfield filter
prevents PE but does not prevent DVT
UFH prophylaxis
5000 units SQ Q8H
enoxaparin (LMWH) prophylaxis
30 mg SQ Q12H (hip/knee)
40mg SQ QD
CrCL<30: 30mg QD
Dalteparin (LMWH) prophylaxis
5000 units SQ QD- high risk
2500 units SQ QD- low/mod risk
fondaparinux prophylaxis
2.5 mg QD
CI if <50kg
rivaroxaban prophylaxis
10mg PO
apixaban prophylaxis
2.5mg PO BID 12-24 before
CHADS2 score
CHF, HTN, age >75, DM Stroke or TIA to determine stroke prophylaxis in afib