Show:
Anticoagulants
Antiplatelets
Thrombolytics
Heparin
Warfarin
100

What are anticoagulants used for?

Prevents formation and growth of blood clots

100

What are antiplatelets used for?

Prevents thrombosis in ARTERIES

100

What are thrombolytics used for?

"clot busters"

100

Lab tests used to monitor Heparin

PTT

100

Lab tests used to monitor Warfarin

PT and INR

200

True or False: labs need to be monitored for anticoagulants

FALSE! labs do not need to be monitored

200

What is the most commonly prescribed antiplatelet?

Aspirin
200

What is the biggest complication of taking thrombolytics?

hemorrhage 

200

What is the antidote for Heparin?

Protamine sulfate
200

What is the antidote for Warfarin?

Vitamin K (mild bleeding)

Fresh frozen plasma (severe)

300

How should you administer low molecular weight heparin (LMWH)?

Administer SQ in abdomen 2 inches from the umbilicus
300

How many days before surgery should Aspirin be discontinued?

7 days before surgery

300

Name 3 thrombolytics

- Alteplase

- Tenecteplase

- Reteplase

300
What route is Heparin given?

SQ or IV

300

What route is Warfarin given?

PO ONLY!

400

True or False: Heparin is absorbed poorly through the GI tract

TRUE

400

Antiplatelets are mostly prophylactic, which means it prevents what?

- Family hx of MI/stroke

- Repeat MI/stroke

- Stroke for pt already having TIAs

400
What is the antidote for thrombolytics and what does it do?

Aminocaproic acid (Amicar); used to stop bleeding

400

What can inactivate Heparin?

nicotine

400

What is a rare complication from taking Warfarin?

Purple toe syndrome

500

Signs and symptoms that might indicate bleeding

Black tarry stools, Petechiae, Bruising, Nose bleed, Eye hemorrhages, Hematuria

500

Contraindications of antiplatelets?

Bleeding peptic ulcers, Active bleeding, Intracranial hemorrhage 

500

RANDOM QUESTION!!

Differentiate between STEMI and NSTEMI

STEMI - Complete blockage, ST elevation (MI is happening), No blood getting through coronary artery, heart muscle is dying, irreversible if nothing is done

NSTEMI - Incomplete blockage, No ST elevation (MI is coming), some blood gets through coronary artery, heart muscle is compromised, reversible

500

Desired range for heparin therapy, and what should you do if PTT is higher than this range?

PTT should be 46-70

If > 70 you should...

1) Stop med

2) Prepare antidote

3) Monitor labs

500

What is the normal range for INR and the desired INR range for heparin therapy?

Normal: 1.3-2.0

INR during Warfarin therapy: 2.0-3.0