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Procoagulants
Part 1
34
Nursing
Graduate
11/10/2014

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Term
HOW DOES ANTIFIBRINOLYTICS AND INHIBITORS OF ANTICOAGULATION WORK?
Definition
DECREASE PLASMINOGEN ACTIVATION AND PLASMIN ACTIVITY (KEEPS THINGS FROM BREAKING DOWN CLOTS; DOESN'T CAUSE CLOTS). THEY ARE USED TO DECREASE BLOOD LOSS IN THE PERIOPERATIVE PERIOD.
Term
WHAT ARE 5 SIDE EFFECTS OF ANTIFIBRINOLYTICS AND INHIBITORS OF ANTICOAGULATION?
Definition
HYPOTENSION, BRADYCARDIA, ARRHYTHMIAS, THRMOBOSIS, THROMBOCYTOPENIA
Term
WHAT KIND OF SIDE EFFECTS CAN APROTININ CAUSE?
Definition
MAY CAUSE ANAPHYLAXIS AND RENAL FAILURE
Term
WHAT IS THE DOSE OF TRANEXAMIC ACID (CYKLOKAPRON, LYSTEDA)?
Definition
1GM/100ML OVER AT LEASE 10 MINUTES (FASTER INFUSION MAY CAUSE HYPOTENSION).
Term
WHERE IS TRANEXAMIC ACID (CYKLOKAPRON, LYSTEDA) EXCRETED AT?
Definition
RENAL (USE CAUTION IN RF PT'S)
Term
WHAT IS THE DOSE AND EXCRETION OF AMINOCAPROIC ACID (AMICAR)?
Definition
5GM/100-250ML OF NS OVER 15-30 MINUTES EXCRETED RENALLY
Term
IS VITAMIN K A FAT OR WATER SOLUBLE VITAMIN?
Definition
FAT
Term
WHERE IS VITAMIN K MOSTLY FOUND IN AND WHAT IS IT SYNTHESIZED BY?
Definition
GREEN LEAFY VEGETABLES AND SYNTHESIZED BY INTESTINAL BACTERIA
Term
WHAT IS THE MOA OF VITMAIN K?
Definition
HELPS LIVER SYNTHESIZE FACTORS II, VII, IX, AND X (VITAMIN K DEPENDENT FACTORS)
Term
WHAT IS THE IM OR SC DOSE OF VITAMIN K?
Definition
2.5-10MG
Term
WHAT IS THE IV DOSE OF VITAMIN K?
Definition
1-10MG IV SLOWLY START AT LOWER END, ESP IN PTS WITH PROSTHETIC VALVES
Term
WHAT IS THE ONSET AND DURATION OF VITAMIN K?
Definition
6 HRS AND DURATION OF 24 HRS
Term
WHAT ARE 4 SIDE EFFECTS OF VITAMIN K?
Definition
DYSPNEA, CHEST PAIN, ANAPHYLAXIS, THROMBOEMBOLISM
Term
IS SEVERE HEPATIC DISEASE UNRESPONSIVE TO VIT K THERAPY?
Definition
YES!!!
Term
DESMOPRESSIN (DDAVP) IS A SYNTHETIC POLYPEPTIDE THAT IS STRUCTURALLY SIMILAR TO WHAT?
Definition
VASOPRESSIN
Term
WHAT 2 RECEPTORS DOES DESMOPRESSIN WORK ON?
Definition
V1 RECEPTORS (VSM CONSTRICTION) VS V2 RECEPTORS (ADH).
Term
WHAT ARE 6 INDICATIONS FOR THE USE OF DESMOPRESSIN?
Definition
HEMOPHILIA, VON WILLEBRAND'S DISEASE, UREMIC BLEEDING (FROM EXTREMELY ELEVATED BUN), ANTIPLT DRUG REVERSAL, PLT DYSFUNCTION AFTER SURGERY, CENTRAL DIABETES INSIPIDUS.
Term
IS THE MOA OF DESMOPRESSIN THROUGH THE INTRINSIC OR EXTRINSIC PATHWAY?
Definition
EXTRINSIC
Term
HOW DOES DESMOPRESSIN WORK IN THE EXTRINSIC PATHWAY?
Definition
DOSE DEPENDENT INCREASE IN FACTOR VIII, PLASMINOGEN ACTIVATOR, AND VWF. VWF CAUSES PLT ADHESION AND AGGREGATION. VIII HELPS ACTIVATE REST OF DOWNSTREAM COAGULATION CASCADE. IN THE KIDNEYS THERE IS INCREASE WATER REABSORPTION/RETENTION
Term
WHAT IS THE INTRANASAL DOSE OF DESMOPRESSIN?
Definition
300MCG 2 HRS PRIOR TO SURGERY
Term
WHAT IS THE IV/SC DOSE OF DESMOPRESSIN? WHEN SHOULD IT BE GIVEN?
Definition
0.3-0.5MCG/KG INFUSED OVER 30 MINUTES (GIVE 1 HR BEFORE SURGERY)
Term
WHAT IS THE INTRANASAL AND IV ONSET OF DESMOPRESSIN?
Definition
INTRANASAL IS 30-90 MINUTES. IV IS 30 MINUTES (PEAKS BETWEEN 1.5-2 HRS).
Term
WHAT IS THE DURATION, METABOLISM, AND EXCRETION OF DESMOPRESSIN?
Definition
DURATION IS 3 HRS, METABOLISM IS UNKNOWN, AND EXCRETION IS RENALLY
Term
WHAT ARE 8 SIDE EFFECTS OF DESMOPRESSIN?
Definition
WATER RETENTION, HYPONATREMIA (DILUTIONAL), FLUSHING, HYPERTENSION (VA RECEPTOR RESPONSE), HYPOTENSION (WITH TACHY R/T PROSTAGLANDIN RELEASE), TACHYCARDIA, THROMBOCYTOPENIA, TACHYPHYLAXIS (TYPICAL IF MORE THAN ONE DOSE PER 48 HRS). THE HYPO OR HYPER TENSION IS DEPENDENT ON HOW SENSITIVE PT IS TO DILATION AND CONSTRICTION.
Term
RECOMBINANT FACTOR VIIA IS USED FOR WHAT?
Definition
TREATMENT OF BLEEDING IN HEMOPHILIACS. DIFFICULT TO GET BUT BIGGER PROBLEM IS COST! VERY EXPENSIVE, BUT EFFECTIVE
Term
HOW DOES RECOMBINANT FACTOR VIIA WORK?
Definition
ACTIVATES FACTOR X WHICH GREATLY INCREASES THROMBIN ACTIVITY AND CONVERTS FIBRINOGEN TO FIBRIN.
Term
WHAT IS THE DOSE OF RECOMBIANT FACTOR VIIA?
Definition
DOSE IS 50-100MCG IV EVERY 2 HRS
Term
WHAT IS THE MAIN SIDE EFFECT WITH RECOMBINANT FACTOR VIIA?
Definition
THROMBOEMBOLISM
Term
THE EFFECTS OF RECOMBINANT FACTOR VIIA CAN BE BLOCKED BY WHAT 2 MECHANISMS?
Definition
ACIDOSIS AND HYPOTHERMIA. PH OF AT LEAST 7.2 OR GREATER AND TEMP AT LEAST 33 DEGREES C = 91.4 F
Term
HAS RECOMBINANT FACTOR VIIA BEEN USED FOR REVERSAL OF COUMAIN?
Definition
YES, IN LOWER DOSES (20MCG/KG OR 1.2 MG IV)
Term
FACTOR VIII AND IX CAN BE CONCENTRATED FROM WHERE?
Definition
POOLED PLASMA. SO HEPATITIS TRANSMISSION IS A RISK. RECOMBINANT FACTORS ARE PREFERRED IF AVAILABLE.
Term
WHAT IS THE INITITAL LOASING DOSE FOR FACTOR VIII AND IX?
Definition
FOR FACTOR VIII IS 50 UNITS/KG. REDOSE EVERY 12 HRS BASED ON CLINICAL PRESENTATION.
Term
WHAT IS THE DOSE FOR FACTOR IX?
Definition
25-100U UNITS/KG LASTS 24 HRS
Term
WHAT DOES PROTHROMBIN COMPLEX CONCENTRATE CONTAIN?
Definition
ALL VITAMIN-K DEPENDENT FACTORS. SOME SOURCES USE THIS TERM FOR FACTOR 9 COMPLEX.
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