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South College Pharm
Pharm Lecture 2
4
Biology
Graduate
01/20/2009

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Cards

Term

VTE:

 

What makes up Virchow's Triad of factors contributing to thrombosis?

Definition

Hypercoagulbility

Hemostasis

Vessell Wall Injury

Term
Drug Treatments for VTE (5)?
Definition

Unfractionated heparin (UFH)

 Low-molecular weight heparin (LMWH)
Anti Xa Inhibitor
Direct thrombin inhibitors
Vitamin K antagonists

Term

VTE and Unfractionated Heparin:

 1) Anticoagulant effect medicated through a specific pentasaccharide sequence that binds _____which increases it’s affinity for factor IIa (thrombin), IXa, Xa and XIIa by up to 1000 fold

2)  Side Effects of Heparin

3)  Things to Monitor?

Definition

1) Antithrombin

 

2)  Bleeding (2% – 4%) , Heparin Induced Thrombocytopenia, Osteoporosis , alopecia, suppressed aldosterone production

 
3) aPTT (activated partial thromboplastin time)
ACT (activated clotting time)
Anti-factor Xa activity
Plasma heparin concentrations

 

 

Term

VTE and Low Weight Heparin:

1)  Advantages over Unfractionated Heparin?

2)

Definition
1)  Advantages over UFH
Predictable anticoagulation dose response
Improved subQ bioavailability
Dose-independent clearance
Longer biologic t1/2
Reduced need for routine laboratory monitoring
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