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anitcoag

drugs test 3

QuestionAnswer
anticoagulants common meds heprin, LWMH, Coumadin
Heprin uses// action MI, CVA, PE, DVT/ only prevents a clot not break up one // inhibits antithrombin lll which blocks thrombin
Heprin administration IV or subq
Heprin s/e bleeding, heprin induced thrombocytonpenia cbc erry day
Heprin monitoring PTT 1.5 2 times control 60 70 seconds
Herprin counterindications hemragic stroke
Heprin antidote protamine sulfate IV
LMWH endings aparin
common LMWH enoxaparin "lovenox" dalteaprin "fragmin"
LMWH uses // interactions DVT, primarily PE// longer half life dont give with other anticoagulents
LMWH administration sq weight based only in abd // usually qd or bid// give with bubble // rotate injection sites//
LMWH S/E bleed// HIT
LMWH monitoring platlet count
direct thrombin inhibitors parenternal anticoagulants ll iv argatroban, Bivalirubin, Lepirudin sq Desirudin
warfarin (coumadin) uses oral anticoagulant // long term anticoagulanet therapy PE DVT prophalyaxis in afib
warfarin administration start with heprin until coumadin reaches therapudic level
warfarin monitioring PT/INR daily at first then two weeks INR of 2-3 // mechanical heart valve 2.5-3.5
warfarin counterindications bleeding disorders, PUD "peptic ulcer disease", pregnancy
warfarin drug and food interacions dark leavy dark berry dark beans
warfarin antidote vitamen K
antiplatlets uses CAD "coronary artery disease", TIA, MI, PAD "perifieral artery disease"
antiplatlets oral asprin// clopridogrel (plavix)// Ticlopidine (Ticlid)//, dipyridamole (persantine)
antiplatlets iv abciximab (Reopro),// eptifibatide (integrilin),// tirofiban (aggrastat)
antiplatlets iv inhibit what g2b 3a inhibitors
antiplatlet administration oral and IV oral once daily IV bolus and drip for pre determined amount of time
antiplatlet counterindications same as heprin and LMWH
antiplatlet donquai, feverfew, garlic, ginger, ginko, and bilberry
thrombolytics uses acute ishemic stroke// restore patency of central line// ST elevated MI
thrombolytics drugs tenecteplase (tknase)// Alteplace (t-pa)//streptokinase
tenecteplase (tknase) use MI
alteplace (t-pa) stroke
streptokinase central line clear
thrombolytics admision IV bolus alone or with drip// must be on cardiac monitor// alert for hypotension// two 18 guauge iv becasue dont want to stick after administration
thrombolytics adverse effects bleeding, hypotension, cardiac dsyrthmia, vascular collapse death
xaralto used on hip and knee pt// also don't need as much lab monitoring
Created by: dneedham12
 

 



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