VTE, bleeding and other things Flashcards Preview

2 Cardiovascular > VTE, bleeding and other things > Flashcards

Flashcards in VTE, bleeding and other things Deck (21):
1

what drug can be used for subarachnoid haemorrages

nimodipine (CCB)

2

when is UFH used over LMWH

renal impairment

3

NOACs are only licensed following surgery for what type of surgery

knee and hip replacement

4

how long after surgery do we continue VTE prophylaxis

5-7 days or until mobile

extend to 28 days following major cancer of abdo or pelvis (and some other surgeries depending on local protocol)

5

post VTW how long to you continue herparin for when starting warfarin

at least 5 days or until the INR has been 2 or over for over 24 hours

6

laboratory monitoring for UFH is essential, but what are we measuring?

APTT

7

What anticoagulant is best in pregnancy and why

heparin - because it does not cross the placenta

8

in pregnancy when is LMWH chosed over UFH (2)_

lower incidence of HIT and osteoporosis of the jaw

9

why should you be cautious with dosing heparin in pregnancy?

eliminated more rapidly so different dosing requirements

10

what can be used to reverse heparin?

protamine (but this only partially reverses the effects of LMWH)

11

what is given for acute management of ischaemic stroke (to dissolve clot)?
within what time frame?

alteplase
4.5h

12

When is aspirin initiated post stroke?

24 hours after thrombolysis (or ASAP if thrombolysis is not given)

13

If a patient present with AF following a stroke do you treat with antiplalets or anticoagulants

antiplatelets (aspirin) as with any ischemic stroke

ditto if someone is anticoagulated for a heart valve - stop their anticoagulant temporarily and use antiplatlets

...ANTI-PLATELETS FOR EVERYONE

14

when should you treat hypertension post stroke

not straight away as this can reduce cerebral perfusion

15

how long is asprin given post stroke - and then what

asprin 300mg 2 weeks
then clopidogrel 75mg

16

In summary what long term treatments would you expect someone to be on post stroke

clopidogrel 75mg
BP control
statin

17

What BP do you aim for post stroke

130/80

18

what would you not use to control BP post stroke unless indicated for co-existing condition

beta blockers
no idea why it's just what the BNF says

19

what might be given long term following cerebral haemorrage

BP control
- you should generally avoid statins tho (who knows why?)

20

lifestyle advice for Raynauds

stop smoking
avoid cold

21

naftidrofuryl, cilostazol and inositol are treatments for

intermitent claudication (also lifestyle factors to reduce CV risk may improve)