VTE 2

Question 0

Pradaxa

Answer 0

Dabigatran

Question 1

Which of the following is NOT a Factor Xa inhibitor? 
A. Apixaban 
B. Rivaroxiban 
C. Dabigatran 
D. Fondaparinux

Answer 1

C. Dabigatran

Question 2

Xarelto

Answer 2

Rivaroxiban

Question 3

Eliquis

Answer 3

Apixaban

Question 4

Arixtra

Answer 4

Fondaparinux

Question 5

Which parenteral AC drug does not require platelet monitoring?
A. UFH
B. lMWH
C. Fondaparinux

Answer 5

C. Fondaparinux

Question 6

A pt on warfarin bridge therapy must remain on the bridge therapy for at least _____ days and until there are ___ consecutive therapeutic INRs

Answer 6

5, 2

Question 7

A score of 0-3 for the 4Ts score indicates a ______ probability of HIT.

Answer 7

LOW

Question 8

A score of 4-5 for the 4Ts score indicates a ______ probability of HIT.

Answer 8

Intermediate

Question 9

A score of 6-8 for the 4Ts score indicates a ______ probability of HIT.

Answer 9

HIGH

Question 10

HIT is usually seen in pts who have received UFH for how long?

Answer 10

One week or more

Question 11

What are two options to give pts parenterally who have HIT?

Answer 11

Lepirudin

Argatroban

Question 12

What is the IV bolus loading dose for Lepirudin? Max dose?

Answer 12

0.2-0.4 mg/kg IV (max = 44 mg)

Question 13

What is the IV continuous infusion dose for argatroban?

Answer 13

2 mcg/kg/min IV continuous infusion

Question 14

What is the IV continuous infusion MD for Lepirudin?

Answer 14

0.1-0.15 mg/kg/hr IV cont infusion

Question 15

Why would you give someone argatroban?

Answer 15

If the pts has HIT and still needs an parenteral anticoagulant

Question 16

Which of the following is the correct loading dose for lepirudin? 
A. 0.1-0.15 mg/kg
B. 1.5-3 mg/kg
C. 80 mg/kg
D. 0.2-0.4 mg/kg

Answer 16

D

Question 17

Which of the following is the correct MD for lepirudin? 
A. 0.1-0.15 mg/kg/hr
B. 1.5-3 mcg/kg/min
C. 18 mg/kg/hr
D. 0.2-0.4 mg/kg/hr

Answer 17

A

Question 18

Which of the following is the correct dose for prophylaxis treatment of a VTE? 
A. Heparin 5000 units SC daily 
B. Warfarin 10 mg po daily 
C. Fondaparinux 2.5 mg SC daily
D. Desirudin 15 mg po daily

Answer 18

C

Question 19

What is the correct dose for UFH in prophylaxis treatment of VTE?

Answer 19

5000 units SC q 8-12 h

Question 20

(SATA) which of the following are appropriate therapies for prophylaxis treatment of a VTE in a patient with high risk? 
A. UFH 5000 units SC q 8 h 
B. Dalteparin 2500 units SC BID
C. UFH 5000 units SC q 4 h 
D. Dalteparin 5000 units SC daily

Answer 20

A,B,D

Question 21

What is the appropriate dose for enoxaparin in treatment of prophylaxis for VTE?

Answer 21

40 mg SC daily

Question 22

What is the appropriate dose for enoxaparin in treatment of prophylaxis for VTE if the pt just had knee replacement surgery ?

Answer 22

30 mg SC q 12 h

Question 23

What is the appropriate dose for fondaparinux in treatment of prophylaxis for VTE?

Answer 23

2.5 mg SC daily (for pts > 50 kg)

Question 24

You cannot give which of the following for treatment of prophylaxis if pt weighs under 50 kg? 
A. Heparin 5000 units SC q 8-12 h  
B. Warfarin 5 mg po daily 
C. Fondaparinux 2.5 mg SC daily
D. Desirudin 15 mg po BID

Answer 24

C