Blood Clotting Meds Flashcards Preview

Pharm II > Blood Clotting Meds > Flashcards

Flashcards in Blood Clotting Meds Deck (40):
1

Lovenox (Enoxaparin)

Low molecular weight heparins

2

Antidote for heparin

Pritamine sulfate

3

Adverse effect of heparin

HIT- heparin induced thrombocytopenia

4

Anticoagulant that treats HIT

Argatroban

5

True or false: lovenox should be given in the arm

False: it's given subQ in love handles

6

TSOAs- target specific oral anticoagulants
-Argatroban
-bivalirudin

Direct thrombin inhibitors

7

Factor Xa inhibitors

Dabigatran Etexilate (Pradaxa)
Apixaban (Eliquis(
Rivaroxaban (xarelto)
Edoraxaban (edoxaban)

8

Prevents clot formation (combined with aspirin) in patients with unstable angina who are undergoing coronary angioplasty

Bivalirudin (Angiomax)

9

Indicated to treat HIT

Argatroban

10

Anticoagulant used in emergencies

Heparin

11

Oral anticoagulant with delayed onset

Warfarin

12

What is used for monitoring treatment of warfarin

PT and INR (2-3 therapeutic range )

13

Adverse effects of Warfarin

Hemorrhage
Warfarin induced skin necrosis

14

Used for Warfarin overdose

Vitamin K

15

Which type of heparin is less likely to hemmorage

Low-molecular weight heparin

16

Direct thrombin inhibitors are given to patients who develop HIT, Given with antiplatelets,

True

17

Clotting factor inhibitor

Warfarin

18

Vitamin K in strictly prohibited when taking warfarin

False- dietary must be consistent

19

Would you question Order of a 20 hour postpartum patient?

Yes, thrombolytics are contraindicated in women 24 hr postpartum

20

PreVENTION of DVT
Prevention of ischemic complications: unstable angina and MI

Low molecular weight heparin

21

SubQ heparin injection

Low molecular weight heparin

22

When is only time heparin and warfarin is giving simoustanously

When weaning off heparin

23

Should u get your labs done daily when patient heparin is d/c and pt is on Eliquis

No, not as much
Besides this medication don't have labs to monitor.
However you still want coag labs done

24

Heparin most pertinent lab

aPTT

25

Therapeutic aPTT range

60-80 secs

26

Antiplatelets

Prevent atrial thrombus

27

Warfarin is a clotting factor synthesis inhibitor

True

28

Oral antiplatelets

Plavix, aspirin , pletal

29

IV antiplatelets

Repro, integralin, aggtrastat

30

Adverse effect is tinnitus

Aspirin

31

Lab to check after administering antiplatelets

Platelet count

32

Pt teachings for antiplatelets

Take with meals
Treatment may be life long
Avoid aspirin or NSAID OTC meds
Avoid alcohol

33

Clot buster

Thrombolytics

34

Should you question an order of IM med after thrombolytics are administered?

Yes, all IV , catheters, and invasive procedures should be done before administering

35

Adverse effects of thrombolytics

Hemmorage, fever, chest tightness, chills, Soa

36

Contraindication of thrombolytics during first 5 months of prego

Increase risk for miscarriage

37

Colony stimulating factors med given to renal failure patients

Epoetin and darepoetin- hence erythrocyte growth factors

38

Granulocyte colony stimulating factor
Fligrastim and pegfligrastim are given to whom

Chemo pts

39

S/e: increased vicious blood-> raised BP
INCREASE formation of clots
Slow movement through small vessels

Colony stimulating factors

40

Pt teaching of colony stimulating factors

Daily weight
Report signs of abnormal clotting
Report to ER for signs of of heart attack or stroke
Self-injection technique