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10 Cards in this Set

  • Front
  • Back
What drug does the following?

binds to antithrombin III and enhances antithrombin's activity
Antithrombin III nl binds and inhibits clotting factors 9,10,11, and 12, also inhibits factor 2
Major drug for pulm embolus, DVT, and MI
It works in MINUTES***
Heparin
What is the antidote for heparin OD?
protamine sulfate
What drug does the following?

inhibits promarily factor X
efffects cannot be readily or rapidly reserved
this DOES NOT** need to be monitored
does not clear the body until at least 12 hrs from the last administration
Low Molecular Weight Heparin:

Dalteparin
Enoxaparin
Tinzaparin
What is the Antidote to LMWH OD?
None available

trick ya bitch
What drug does the following?

antagonizes vitamin K dependent factors 2,7,9,10
99% is bound to albumin and is easily displaced by sulfonamides
takes 8-12 hrs to onset
2-5 days to onset Rx effect
Major ARD is hemorrhage
Contraindicated in PREGNANCY - bc it crosses the placenta
Warfarin aka coumadin
What is the antidote for coumadin OD?
Vit K --> take 24 hrs to take effect
What drug does the following?

polysaccharide
binds to antithrombin and enhances antithrombin activity.
uniquely activates antithrombin to selectively selectively inhibit ONLY FACTOR X(10)!!!!
Antothrombin-dep selective factor X
CAN BE USED IN PTS WITH HEPARIN HYPERSENSITIVITY***
Fondaparinux
What is the antidote for Fondaparinux?
again hahahaha aint one bitch!
What drug does the following?

direct thrombin inhibitor
bind to and block the active site on thrombin (factor II)
only available IV administration
regulated to use as a heparin substitute in hepamin intolerant pts
Argatroban
Bivalirudin
Lepirudin
Please detail the coagulation pathway
Factors XII, XI, IX, converge on factor X
Factor X then activates Factor II (prothrombin to thrombin)
Thrombin then activates factor I - fibrinogen
Factor I activates factor Ia (fibrin which is insoluble)

You can also have Tissue factor activate factor VII which can converge on factor X