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19 Cards in this Set
- Front
- Back
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ticagrelor
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180mg LD then 90mg po bid
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CI of ticagrelor
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pt has active asthma attack
actively bleeding SEVERE HEPATIC IMPAIRMENT |
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ADR of ticagrelo
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dyspnea, bradycardia
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clopidogrel for medical mgt
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200mg LD then 75 mg
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clopidogrel for PCI
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600mg LD then 75 mg
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prasugrel used in PCI or medical mgt?
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PCI PCI PCI PCI PCI PCI
PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI PCI |
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prasugrel in PCI
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60 mg LD then 10 mg daily
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what reasons would you not use prasugrel in a patient?
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pt is 75 yrs or older
pt weighes < 60 kg history of TIA/stroke |
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when is abciximab used?
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only in PCI!!!!
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when is tirofiban used?
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in medical mgt only!!!
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abciximab dose in PCI
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0.125mcg/kg/min x 12 hours
NO RENAL ADJUSTMENT |
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eptifibitide is used when?
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in PCI for both
in medical mgt for UA/NSTEMI only |
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eptifibitide dose
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2mcg/kg/min infusion up to 72 hrs
if CrCl<50 mL/min then 1/2 the dose so 1mcg/kg/min contraindicated in HD |
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tirofiban is used when?
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medical mgt in UA/NSTEMI only
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tirofiban dose
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0.1 mcg/kg/min for up to 24 hours
if CrCl <30ml/min then decrease down to 0.05mcg/kg/min (1/2 dose) |
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UFH dose
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medical management
60 units/kg (max 4,000 units)IV bolus, then 12 units/kg/hr (max of 1,000 units/kg/hr) IV infusion for goal aPTT1.5‐2 x baseline PCI 70 units/kg IVP for goal ACT 250‐300 seconds |
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enoxaparin
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medical management
1mg/kg SC BID if CrCl < 30ml/min 1mg/kg SC qday PCI 1mg/kg SC |
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fondaparinux
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medical management:
2.5mg SC qday PCI 2.5mg IV x 1 + UFH 70units/kg IVP for goal ACT 250‐300 seconds |
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bivalirudin
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During PCI only:
1.75mg/kg/hr during PCI For CrCl < 30ml/min: 1mg/kg/hr during PCI |
