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16 Cards in this Set
- Front
- Back
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tx of unstable angina/NSTEMI |
MONA-GAP-BA
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what dose MONA-GAP-BA stand for
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Morphine, Oxygen, Nitrates, ASA
GP iib/iiia recept antag, Anti-coag, P2Y12 inhibt, BB, ACEI |
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example of GPIIb/IIIa antag
MOA |
these are used when pt is going for intervention (stent or PCI)
abciximab block fibrinogen binding to platelets, preventing aggreg. |
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P2Y12 inhib
exampleses MOA |
Clopidogrel and prasugrel
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Plavix BBW
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DIMINISHED EFFECTIVNESS IN POOR METABOLIZERS
-test for 2c19 alleles 2 and 3 will not covert Plavix to active metabolite as much, more thrombosis |
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Plavix
SE |
bleeding, bruising, rash
TTP- rare thrombotic thrombocytopenic purpura- purple skin rashes |
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what SE are seen with glycoprotein iib/iiia antag
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bleeding, thrombocytopenia (esp abcixamab) and hypotension
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abciximab
brand |
ReoPro
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Eptifibatide
brand |
integriline
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prasugrel
brand moa |
effient
p2y12 inhibitor |
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ticagrelor
brand BBW SE |
brilinta
avoid use with ASA 100 mg or >-decreases ticagrelor's effectiveness, use with 75mg-100mg SE- dyspnea >10%, bleeding |
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STEMI tx
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MONA + GAP-BA + thrombolytics
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when to use thrombolytics
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if pt is not close to a hospital, exceeds the 90 min pci- door to balloon time
it should be initiated 30 minutes- door to needle time |
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fibrinolytic meds
SE |
alteplase (t-PA)
streptokinase SE- bleeding, hypotension, intracranial hemorrhage, fever |
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what meds should be stopped before cabg
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D/C enoxaparin, fondaparinux, bivalirudin
start UFH |
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long term 2ndary prevention of MI
if had a stent placed |
use ASA higher doses 162-325 mg daily x 1-6 months
THEN lower to 81mg use low dose if never had a stent |
