CACP Domain 4 Dosing Flashcards Preview

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Flashcards in CACP Domain 4 Dosing Deck (38)
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1

Aspirin Dosing

325 mg x1 IR, then 81 mg PO daily

2

Aspirin Stroke/TIA Dosing

81 mg PO daily

3

Clopidogrel Dosing (NSTEMI)

300 mg PO x1, then 75 mg PO daily

4

Clopidogrel Dosing (STEMI, fibrinolytic)

300 mg PO x1, then 75 mg PO daily

5

Clopidogrel Dosing (STEMI, PCI)

600 mg PO x1, then 75 mg PO daily

6

Prasugrel Dosing

60 mg PO x1, then 10 mg PO daily

7

Prasugrel Dosing (Asian or weight < 60 kg)

60 mg PO x1, then 5 mg PO daily

8

Ticagrelor Dosing

180 mg PO x1, then 90 mg PO BID

9

Ticagrelor Dosing if > 1 year

60 mg PO BID based on ischemic risk

10

Avoid Prasugrel if (3)

Stroke/TIA, age >/= 75 years, if NSTEMI and no PCI

11

Heparin aPTT target

1.5 - 2.5 x baseline

12

Argatroban aPTT target

1.5 - 3.0 x baseline

13

Bivalirudin aPTT target

1.5 - 2.5 x baseline

14

Heparin aPTT target for ACS

1.5 - 2 x baseline

15

Heparin anti-Xa target

0.3 - 0.7 units/mL

16

Heparin dosing (IV)

80 units/kg x1, then 18 units/kg/hr

17

Heparin VTE prophylaxis dosing (SQ)

5000 units q 8 - 12 hrs

18

Heparin dosing for ACS (IV)

60 units/kg x1, then 12 units/kg/hr

19

Enoxaparin VTE prophylaxis

30 mg BID (hip or knee replacement, first dose post surgery) or
40 mg daily (hip or knee replacement with first dose pre-surgery, abdominal surgery, acute medical illness patients)

If CrCl < 30, 30 mg daily

20

Argatroban starting dose (HIT)

2 mcg/kg/min

21

Bivalirudin starting dose (HIT)

0.15 mg/kg/hr

22

Bivalirudin dosing (PCI)

0.75 mg/kg, then 1.75 mg/kg/hr

23

Argatroban dosing (PCI)

350 mcg/kg, then 25 mcg/kg/min

24

Fondaparinux dosing

SQ 5 mg daily if wt < 50 kg, 7.5 mg daily if wt 50 - 100 kg, 10 mg daily if wt > 100 kg

25

Fondaparinux VTE prophylaxis and up to how many days

2.5 mg daily SQ up to 21 days

26

Eptifibatide dosing

180 mcg/kg x1 IV, 180 mcg/kg x1 10 mins later, 2 mcg/kg/min continuous

27

Eptifibatide time limit

Up to 24 hours post PCI

28

Tirofiban dosing

25 mcg/kg IV, then 0.15 mcg/kg/min

29

Tirofiban time limit

Up to 18 hours post PCI

30

Reteplase dosing (STEMI)

10 units IV over 2 minutes, wait 30 mins, then 10 units over 2 minutes