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Anticoagulant and Clotting Drugs
key concepts
17
Nursing
Undergraduate 1
02/21/2012

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Cards

Term
What is the primary action of Anticoagulants?
Definition
Decreases formation of FIBRIN, primarily used to prevent venous thrombosis.
Term
What is the primary action of Antiplatelet drugs?
Definition
Suppresses platelet aggregation, primarily used to treat ARTERIAL thrombosis
Term
What is the primary action of Thrombolytics?
Definition
Promotes breakdown of fibrin, primarily used to dissolve NEW THROMBI
Term
Define Arterial Thrombosis
Definition
Created in arteries usu secondarily to damage to arterial wall, causes platelet adherence, aggregation, then blood slows and fibrin forms. LOCALIZED tissue damage.
Term
Define Venous thrombosis:
Definition
Develops where blood flow is slow, Fibrin forms, clot forms, embolus can form and distal damage can result.
Term
Heparin
Definition
FAST ACTING, anticoagulant, promotes AntiThrombin inactivation of clotting factors, used for DVT and Pregnancy, injection only
Term
Advantages of LMW Heparin? Disadvantages?
Definition
Can be given on fixed dose schedule and doesn't require aPTT monitoring; LMW's cost MORE
Term
What lab values do you monitor for Heparin therapy?
Definition
aPTT
Term
What is the antidote to Heparin?
Definition
PROTAMINE SULFATE
Term
What is HIT (heparin induced thrombocytopenia)?
Definition
It is an immune reaction against heparin/platelet protein complexes that reduces platelet count and causes endothelial damage and clotting
Term
Compare HEPARIN and COUMADIN
Definition
Heparin fast acting, injection only--Coumadin takes days and is oral
Term
What is the antidote to Warfarin?
Definition
Vitamin K
Term
What lab values do you monitor for Warfarin therapy?
Definition
PT (Pro-Thrombin time)
Term
What are the uses of Heparin?
Definition
PE, Stroke, Massive DVT
Term
What are the uses of LMW Heparin?
Definition
Prevention of DVT and ischemic complications, Tx of established DVT
Term
Aspirin
Definition
Antiplatelet, irrev. ihi of cyclooxygenase (TAX2)--GI BLEED
Term
ADP receptor antagonists
Definition
Block ADP receptors/block GP 2a/3b from connecting to fibrin
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