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20 Cards in this Set

  • Front
  • Back
Clopidogrel (Plavix) & Ticlopidine (Ticlid) work where?
At the ADP receptor
How much does aspirin prevent vascular death?
15%
How much does aspirin prevent nonfatal vascular death?
30%
What is the MOA of aspirin?
blocks cyclooxygenase
What dosage should be given to patients with acute ischemic stroke?
160 mg
What dose of aspirin should be given to patients with TIA & ischemic stroke?
50 mg
What dose of aspirin should be given to men with a high cardiovascular event risk?
75 mg
What are the thienopyridines?
Clopidogrel
Prasugrel
Ticlopidine
What severe adverse effects are responsible for the decreased use of thienopyridines?
Thrombocytopenia
Aplastic anemia
TTP
What is the MOA of thienopyridines?
inhibit ADP induced platelet aggregation
What are the oral anticoagulants?
Warfarin (Coumadin)
Dabigatran
What are the subcutaneous anticoagulants?
LMWH (Enoxaparin, Dalteparin)
Fondaparinux (Arixtra)
Heparin
What are the IV anticoagulants?
Heparin
Direct Thrombin Inhibitors (Argatroban, Lepirudin, Bivalrudin)
What is the MOA of warfarin (Coumadin)?
blocks the vitamin K dependent glutamate carboxylation of precursor clotting factors (2, 7, 9, 10)
How long does it take before a patient on warfarin (Coumadin) is fully anticoagulated?
2-3 days
What dosage of heparin is given for DVT prophylaxis?
5000 U SQ TID
What is the dosage for weight-based treatment dosing?
80 U/kg bolus and 18 U/kg/hr
Titrate to desired aPTT
What are the direct thrombin inhibitors?
Argatroban
Lepirudin (Refludan)
Bivalrudin (Angiomax)
What is the MOA of thrombolytics?
Converts plasminogen to plasmin
Converts fibrin to fibrin degradation products
(tissue plasminogen activator)
What is the only thrombolytic agent approved by the FDA for treatment of acute ischemic stroke?
IV tPA