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AF

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wasabi's version from 2015-09-04 00:52

Section 1

Question Answer
aspirinantiplatelets
aspirin dose81-325 mg PO qd
aspirin SEbleeding, nausea
aspirin DIother drugs that increase bleeding risk
aspirin administrationHS to salicylates, active bleeding, advanced liver disease
aspirin cost$5/month
aspirin monitorCBC
aspirin comment less effective than warfare at higher scores
warfarin (coumadin)anticoagulants
memorize

Section 2

Question Answer
warfarin (coumadin) dose2-5 mg QD; adjust based on INR
warfarin (coumadin) administrationtake with food in evening
warfarin (coumadin) monitoringCBC, INR goal 2-3
warfarin (coumadin) commentsconsider 1st line based on cost. only option for valvular AF. DOC if severe renal disease
memorize

Section 3

Question Answer
dabigatran (pradaxa)anticoagulants
dabigatran (pradaxa) doseCrCl > 30 give 150 mg BID. CrCl 15-30 give 75 mg BID
dabigatran (pradaxa) administration issuesdon't crush, chew, or open capsules. keep in original container. open bottles expires in 120 days
dabigatran (pradaxa) commentscareful in 80 y.o. and/or low body weight (on Beer's Criteria). increase risk of MI vs warfarin
memorize

Section 4

Question Answer
rivaroxaban (xarelto)anticoagulants
rivaroxaban (xarelto) doseCrCl > 50 give 20 mg QD. CrCl 15-50 give 15 mg QD
rivaroxaban (xarelto) administration take with food in evening
rivaroxaban (xarelto) monitoringCBC, SCr
rivaroxaban (xarelto) commentsconsider NOAC in pt with fluctuating INRs, difficulty getting to AC, side effects from warfarin, or lots of short term warfarin DI. non-interior to warfarin in terms of efficacy
memorize

Section 5

Question Answer
apixaban (eliquis)anticoagulants
apixaban (eliquis) dose5 mg bid; 2.5 mg qd; CrCl 15-50 give 15 mg qd
apixaban (eliquis) administrationnone
apixaban (eliquis) monitoringCBC, SCr
apixaban (eliquis) comments consider NOAC in pt with fluctuating INRs, difficulty getting to AC, side effects from warfarin, or lots of short term warfarin DI. non-interior to warfarin in terms of efficacy
memorize

Section 6

Question Answer
edoxaban (savaysa)anticoagulants
edoxaban (savaysa) dose CrCl 50-95 give 60 mg qd. CrCl 30-50 give 30 mg qd
edoxaban (savaysa) administrationnone
edoxaban (savaysa) comments consider NOAC in pt with fluctuating INRs, difficulty getting to AC, side effects from warfarin, or lots of short term warfarin DI. non-interior to warfarin in terms of efficacy
memorize

Section 7

Question Answer
aspirinantiplatelets
warfarin (coumadin)anticoagulants
dabigatran (pradaxa)anticoagulants
rivaroxaban (xarelto)anticoagulants
apixaban (eliquis)anticoagulants
edoxaban (savaysa)anticoagulants
memorize