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13 Cards in this Set

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  • Back

What is the action of direct thrombin inhibitors

They stop the coagulation cascade by binding to thrombin that will form w fibrin and any other free thrombin that's in the blood

What are direct thrombin inhibitors used for

deep vein thrombosis (DVTS)


pulmonary embolism (PE)


clotting from a fibb


Expected side effects of direct thrombin inhibitors

Bleeding of the gums, bruising, bleeding

Adverse effects of direct thrombin inhibitors

excessive bleeding, thrombocytopenia

How do you know when direct thrombin inhibitors are building up toxicity

blood oozing excessive bleeding, epistaxis,

Name the drugs that increases the activity/concentration of direct thrombin inhibitors

azithromycin, diltiazem, atorvastatin, carvedilol, clarithromycin, cyclosporin, and St John's worth

What is the reversal agent direct thrombin inhibitors

idarocizumab

how are direct thrombin inhibitors stored

in the original bottle and away from moisture or light

What allergy reaction can obtain from taking direct thrombin inhibitors

Wheezing


Shortness of Breath


rash


itching


chest tightedness

What is the drug ending for direct thrombin inhibitors

xaban

Name the drugs that decrease the effect of direct thrombin inhibitors

Antacids, Phenytoin, Phenobarbital, Carbamazepine, Dexamethozone

If you miss a dose of the drug, when should you take the scheduled drug

As soon as possible on the same day, but if there is a 6 hour time between you taking and the next one, don't take it

Which of the following should you be concerned about and need to educate the patient about DTIs (All that apply)


a. "I will take my drugs on time, but if there is 6 hrs before the next, I will not take the missed doze"


b."I will store my drugs in my pill container"


c. "I will chew or break the capsule before swallowing."


d. "I will avoid aspirin and NSAIDs."


e. "I'll take the drug with my applesauce."

B, C, E