Shared Flashcard Set

Details

Thrombo drugs
To prevent or undo clots
13
Medical
Graduate
01/22/2013

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Cards

Term
Aspirin
Definition
Anti- cox --> anti-TXA2 (irreversible) platelet aggregating factor analgesis
Term
Clopidegrel
Definition
irreversible Anti-ADP (P2Y)

Clopidegrel activated by CYP2C19
avoid omeprazole

Tica avoid refampin/ketoconazol
cyp2c19
Term
dipyridamole+asa
Definition
Blocks adenosine uptake --> vasodialtion due to increase of cAMP by blocking PDE

not effective alone
Term
Abciximab
Definition
monoclonal AB to IIB/IIIa

used in urgent cornary ischemia
Term
Heparin
Definition
accelerates ATIII

HIT/osteoporosis

antidote is protamine sulfate

monitor APPT
Term
LMWH enoxaparin
Definition
same as heparin just more controllable
Term
bivaliruden
Definition
IV anti-thrombin direct irreversible

used what can used heparin
microvascular surgery to reattach digits
Term
warfarin
Definition
Anti-Vitamin K epoxide reductase

onset 6-8 hrs, full effect 3 days

may cause skin necrosis or purple toe syndrome

monitor INR/PTT
Term
Dibigatron
Definition
anti-thrombin III that does not involve any cyps liver but prodrug

converted by esterases
Term
Rivaroxabon
Definition
anti Xa
no antidote
cant be removed via dialysis
Term
Alteplase
Definition
Anti-fibrin clot

antidote is epsilon amino caproic acid
Term
Ticagralor
Definition
reversible Anti-ADP (P2Y)

Clopidegrel activated by CYP2C19
avoid omeprazole

Tica avoid refampin/ketoconazol
cyp2c19
Term
Fondaparinux
Definition
synthetic heparin-like pentassacharide

best for patients with heparin induced thrombcytopenia
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