Shared Flashcard Set

Details

NUR112 Antiplatelet Drgs Test4
anticoagulants
52
Medical
Undergraduate 2
03/21/2009

Additional Medical Flashcards

 


 

Cards

Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
suppresses vasoconstriction
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
effect persists for 7-10 days which is life span of platelet
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
dose of 81 mg a day is effect ive
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
suppress platelet aggregation by causing irreversible inhibition of cyclooxygenase (COX)
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
teach pt to check stool for blood teach pt to check for bleeding a/o bruising in other areas
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
GI bleeding and bruising
Term
Aspirin (Acetylsalicylic acid/ASA) versus
Ticlid (Ticlopidine)
Definition
aspirin persist to duration of platelet and Ticlid (Ticlopidine)outlasts duration of platelet
Term
Aspirin (Acetylsalicylic acid/ASA)
Definition
may increase risk of hemorrhagic stroke so teach pt/family sxs of this type of stroke
Term
Ticlid (Ticlopidine) and Plavix (clopidogrel)
Definition
causes irreversible blockade of ADP receptors on the platelet surface thereby suppressing ADP stimulated aggregation
Term
Ticlid (Ticlopidine)
Definition
Approved for prevention of ischemic strokes
Term
Ticlid (Ticlopidine)
Definition
pts should have CBC every 2 weeks for first 3 months of therapy; after 3 months the risk is low
Term
Ticlid (Ticlopidine)
Definition
effects are irreversible and last longer than life span of platelets
Term
Ticlid (Ticlopidine)
Definition
fatal hematological effects such as neutropenia, agranulocytosis, thrombo-cytopenia purpura (TTP)
Term
GI disturbances
Definition
Aspirin, Ticlid, Plavix (clopidogrel), Persantine (dipyridamole)
Term
Plavix (Clopidogrel)
Definition
can cause rash
Term
Plavix (Clopidogrel)
Definition
similar to Ticlid but does not cause neutropenia or agranulocytosis
Term
Persantine (Dipyridamole)
Definition
Suppresses platelet aggregation; combined with ASA as Aggrenox
Term
Persantine (dipyridamole) and Aspirin combined
Definition
Aggrenox
Term
Persantine (dipyridamole)
Definition
used to prevent recurrent stroke in pt with previous stroke or TIA
Term
Persantine (Dipyridamole)
Definition
teach safety measures r/t dizziness
Term
Persantine (Dipyridamole)
Definition
headache and dizziness
Term
Heparin
Definition
Rapid acting anticoagulant administered only by injection-SQ, IVP or by IVdrip
Term
Heparin
Definition
suppresses coagulation by helping antithrombin inactivate thromgin and factor Xa which ultimately suppresses formation of fibrin clot
Term
Heparin
Definition
does NOT dissolve clots once formed
Term
Heparin
Definition
antidote is Protamine Sulfate
Term
Protamine Sulfate
Definition
can only be given in hospital
Term
Heparin
Definition
anticoagulant effects occur rapidly; within minutes given by IV
Term
Heparin
Definition
cannot be given orally
Term
Heparin
Definition
half-life is short, so when d/c’d, effect is gone within several hours
Term
Heparin
Definition
pts with hepatic or renal problems have longer half life and effects are prolonged
Term
Heparin
Definition
monitor closely for hemorrhage-monitor VS
Term
Heparin
Definition
Heparin induced thrombocytopenia-monitor platelets when pt is receiving
Term
Heparin
Definition
also monitor for thrombotic events
Term
Heparin
Definition
if platelet counts drop <100,000-should be d/c’d
Term
Heparin
Definition
should be avoided immediately after eye surgery, brain or spinal cord surgery
Term
Heparin
Definition
requires careful monitoring of aPTT levels; normal values=40 secs; therapeutic level for anticoagulation is 1.5 to 2 times control or 60-80 seconds; done every 6 hrs
Term
Heparin
Definition
when given SQ do NOT aspirate, put gentle pressure at injection sites 1-2 minutes following injection
Term
Heparin
Definition
always prescribed in UNITS
Term
Lovenox - (low molecular weight Heparin)(Enoxaparin)
Definition
Shorter version of Heparin
Term
Lovenox - (low molecular weight Heparin)(Enoxaparin)
Definition
is as effective as Heparin and can be given on fixed dose schedule that does not requires aPTT monitoring
Term
Lovenox - (low molecular weight Heparin)(Enoxaparin)
Definition
can be used at home
Term
Lovenox - (low molecular weight Heparin)(Enoxaparin)
Definition
dosing in once or twice daily
-no lab monitoring required
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
Term
Coumadin (Warfarin)
Definition
pt MUST eat a diet consistent in dark, leafy green vegetables (Vit K) so that INR is not affected
Term
Coumadin (Warfarin)
Definition
therapy with ASA, Tylenol, Heparin and sulfonamide antibiotics will increase risk of bleeding with Coumadin
Supporting users have an ad free experience!