Flashcards in DVT, A fib, PE Deck (46)
If your patient has A fib, what are you most worried about?
congestive heart failure and stroke
What is the risk of stroke with A fib?
5X times more likely
What are the 2 types of stroke?
hemmorhagic and embolic
What is a hemorrhagic stroke?l-
BV breaks (25% of all strokes)
What is an embolic stroke?
something breaks off and is in the way
WHen people have a mechanical/artificial valve and have A fib, you cant use any (blank) but you can use (blank)
What is the leading cause of cardioembolic stroke?
Risk of intracranial bleeding w/ anticoagulation therapy increases with age after (blank) in non-valvular AF
What are the novel oral anticoagulants?
Pradaxa, ELiquis Xeralto
What is the major risk of pradaxa?
What is the target INR for A fib?
There are a lot of (blank) with coumadin so you can get an increase in INR and get bleeding
THe lower the INR the more quickly your blood (blank)
What happens if you are on coumadin (warfarin) and you eat a lot of leafy green high in vit K veggies?
you replace the vit K that coumadin is trying to deplete so you wil decrease INR and get more clotting
What is the CHADS2 score?
A fib stroke risk
What does CHADS2 stand for?
Congestive Heart failure
Age (greater than 75)
Strokes/TIA (counts as 2 points)
If your Chad scores is greater than (blank) then you need to be on a blood thinner (not aspirin)
T or F
coumadin is better than aspirin for stroke prevention
How is pradaxa cleared in the body?
If you have renal failure what NOAC drug cant you use?
Pradaxa (cuz cleared by kidney only)
Coumadin is reduces strokes by (blank)
Risk of bleeding increases with (blank)
What 2 drugs are used when placing stents?
Thomboxane and ADP inhibitors
NOACs can all be used for (blank)
What are the three NOAC that are factor 10a inhibitors?
What do you pradaxa for?
AF pts (better than warfarin), PE and DVT
What is the INR for a mitral valve replacement
What is Ttr?
total therapeutic range
Use of (blank) can drive up INR