Thrombolytics/fibrinolytic agents Flashcards
What is the treatment for Streptokinase and Urokinase toxicity?
Aminocaproic Acid
______________ is a bacterial protein that complexes with plasminogen, thereby activating it.
Streptokinase
What is the MOA of streptokinase?
complexes with plasminogen and converting it to plasmin
The MOA of Reteplase is to _____
activate plasminogen into plasmin
What is the fibrin specificity of Streptokinase?
Minimal
What is the fibrin specificity of Reteplase?
Moderate
Reteplase (rPA) and Tenecteplase (TNK-tPA) are (drug class)_________
thrombolytics; tissue plasminogen activator
What is the fibrin specificity of Tenecteplase?
High
MOA of Reteplase and tenecteplase
activation/conversion of plasminogen to plasmin, which then cleaves thrombin and fibrin clots.
*plasmin breaks down fibrin that holds the clot together
Increased tissue plasminogen activator leads to _________ of clotting factors, _______ of fibrin formation, _______ of plasminogen and __________ of platelet aggregation.
destruction of clotting factors and cleavage of fibrin formation, cleavage of plasminogen and blockage of platelet aggregation.
What activates plasminogen by converting it into plasmin?
Tissue plasminogen activator
Increased tissue plasminogen activator leads to?
increased bleeding time
increased prothrombin time
increased partial thromboplastin time
unchanged platelet count