Meds

Question 1

Parenteral heparin actions? Used for stroke, PE, DVT, cardiac cath, MI, DIC

Answer 1

Heparin: modify or inhibit clotting or cellular properties to prevent clot formation
Enoxaparin: low molecular weight heparin. Prevents conversion of prothrombin to thrombin by inactivating coagulation enzymes

Question 2

Oral anticoagulants? Actions?

Answer 2

Warfarin: prevents synthesis of coagulation factors VII, IX, X, and prothrombin
Dabigatran: inhibits thrombin formation
Rivaroxaban: inhibits factor Xa

Question 3

Uses for oral warfarin?

Answer 3

Venous thrombosis, prevention of thrombus formation for clients with a fib or prosthetic heart valves. Prevention of recurrent MI, TIAs

Question 4

Med that reduces the risk of stroke/embolism in clients with nonvalvular afib
Med that does that but also prevention of DVT and PE in pts undergoing total knee or hip arthroplasty

Answer 4

PO dabigatran etexilate

PO rivaroxaban