Warfarin Flashcards

1
Q

What is the mechanism of action of warfarin?

A
  1. blocks epoxide reductase enzyme
  2. blocks vitamin K production
  3. vitamin K is needed to activate ;
    Factor 2, 7 , 9 , 11
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2
Q

which coagulation factors does warfarin effect?

A
  • 2
  • 7
  • 9
  • 11
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3
Q

How is warfarin monitored?

A
  1. Prothrombin time
  2. measure of how well the
    - extrinsic pathway
    - common pathway
    are functioning
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4
Q

Normal INR?

A

< 1.1

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5
Q

Warfarin INR?

A

2 < INR < 3

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6
Q

Route of administeration?

A

Oral

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7
Q

When is warfarin indicated?

A
  1. 2nd line for ; PE and DVT
  2. AF
  3. Valvular replacement
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8
Q

Name 3 adverse effects of warfarin?

A
  1. haemorrhage
  2. teratogenic
  3. skin necrosis
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9
Q

why is warfarin CI in pregnancy?

A
  1. congenital heart defects

2. brain malformation

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10
Q

What is the antidote of warfarin OD?

A
  1. FFP - fresh frozen plasma containing coagulation factors

2. IV vitamin K

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