DVT, A fib, PE Flashcards Preview

Block 7 Week 4 > DVT, A fib, PE > Flashcards

Flashcards in DVT, A fib, PE Deck (46)
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1

If your patient has A fib, what are you most worried about?

congestive heart failure and stroke

2

What is the risk of stroke with A fib?

5X times more likely

3

What are the 2 types of stroke?

hemmorhagic and embolic

4

What is a hemorrhagic stroke?l-

BV breaks (25% of all strokes)

5

What is an embolic stroke?

something breaks off and is in the way

6

WHen people have a mechanical/artificial valve and have A fib, you cant use any (blank) but you can use (blank)

novel therapies
Coumadin

7

What is the leading cause of cardioembolic stroke?

non-valvular A

8

Risk of intracranial bleeding w/ anticoagulation therapy increases with age after (blank) in non-valvular AF

75

9

What are the novel oral anticoagulants?

Pradaxa, ELiquis Xeralto

10

What is the major risk of pradaxa?

GI bleeding

11

What is the target INR for A fib?

2-3

12

There are a lot of (blank) with coumadin so you can get an increase in INR and get bleeding

drug interaxns

13

THe lower the INR the more quickly your blood (blank)

clots!

14

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

15

What is the CHADS2 score?

A fib stroke risk

16

What does CHADS2 stand for?

Congestive Heart failure
Hypertension
Age (greater than 75)
Diabetes
Strokes/TIA (counts as 2 points)

17

If your Chad scores is greater than (blank) then you need to be on a blood thinner (not aspirin)

1

18

T or F
coumadin is better than aspirin for stroke prevention

T

19

How is pradaxa cleared in the body?

kidney

20

If you have renal failure what NOAC drug cant you use?

Pradaxa (cuz cleared by kidney only)

21

Coumadin is reduces strokes by (blank)

65%

22

Risk of bleeding increases with (blank)

age

23

What 2 drugs are used when placing stents?

Thomboxane and ADP inhibitors

24

NOACs can all be used for (blank)

Atrial fib

25

What are the three NOAC that are factor 10a inhibitors?

Xeralto
Pradaxa
Eliquis

26

What do you pradaxa for?

AF pts (better than warfarin), PE and DVT

27

What is the INR for a mitral valve replacement

2.5-3.5

28

What is Ttr?

total therapeutic range

29

Use of (blank) can drive up INR

antiobiotics

30

How is eliquis cleared? so can you use this drug in renal failure?

stool liver and kidney
yes!