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24 Cards in this Set

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Heparin

Anticoagulant


MA: binds to antithrombin and increases its activity. Inhibits 10a. Short half life (1-2hrs). Obtained from pigs, cows, sheep. Parenteral drug should be monitored for PTT. Adverse effect-HIT (heparin induced thrombocytopenia).

Enoxaparin

Low-molecular weight heparin.


More predictable anticoagulation response.


Subcutaneous

Dalteparin

Low-molecular weight heparin.

Protamine sulfate

Antidote for heparin

Warfarin

Anticoagulant


MA: Inhibits production of vitamin K dependent factors 2,7, 9,10 by inhibiting vitamin K. Vitamin K competitive antagonist. PO drug should be monitored for PT-INR.

Vitamin K

Antidote for Warfarin

Foundaparinux

Anticoagulant


MA: inhibit 10a.


Less risk for HIT.


Subcutaneous.

Aspirin

Antiplatelet drug


MA: inhibits Coх irreversibly that inhibits TxA2 (responsible for vasoconstriction and platelet aggregation). Result-vasodialation and inability of platelets to aggregate.

Dihydradamole

Antiplatelet drug


ADP reuptake inhibitor. Prevents release of ADP which is responsible for platelet aggregation and generation of TxA2.

Watch for p d.

Clopidogrel

Antiplatelet drugs


ADP inhibitor (ADP receptor blocker) inhibits ADP irreversibly. ADP is responsible for platelet aggregation and production of AxA2.

Watch for p. d.

Ticlopedin

Antiplatelet drug


MA: ADP inhibitor (inhibition of Tx2a and inhibition of platelet aggregation).

Tirofiban

antiplatelet drug


New class GP 2b3a inhibitor


Ma: block located on platelets glycoprotein receptors for fibrinogen and Von Willebrand factors. Without binding to them fibrin clot can’t be formed

+ Watch for B A letters

Eptifibatide

Antiplatelet drug


New class GP2b3a inhibitor

Watch for b a letters

Aminocapronic acid

Antifibrinolytic drug


Ma: inhibits the breakdown of clots

Aminocapronic acid

Antifibrinolytic drug


Ma: inhibits the breakdown of clots

Desmopressin

Antifibrinolytic drug


Ma: increases Von Willebrand (factor 8) and platelet aggregation that forms clots.


Helpful with diabetes insipidus


Analogue of ADH


Aminocapronic acid

Antifibrinolytic drug


Ma: inhibits the breakdown of clots

Desmopressin

Antifibrinolytic drug


Ma: increases Von Willebrand (factor 8) and platelet aggregation that forms clots.


Helpful with diabetes insipidus


Analogue of ADH


Streptokinase

Thrombolytic drug (older)


Ma: activate fibrinolytic system: plasminogen-plasmin- lyse of clot.


Derived from beta -hemolytic streptococci.

Urokinase

Thrombolytic drug (older)


Ma: activation of fibrinolytic system (mainly plasminogen): plasminogen-plasmin- lyse of clot


Naturally occurring human plasminogen activator

Alteplase

TPA (tissue plasminogen activator)


Ma: activates fibrinolytic system


New drug

Anistreplase (APSAC)

Thrombolytic drug (new t-PA)


Anisoylated plasminogen streptokinase activator complex

Suffix Ase

Reteplase

Thrombolytic drug


New t-PA

Tenecteplase

Thrombolytic drug


New t-PA