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Anticoag

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munsele's version from 2016-07-01 18:53

Section 1

Question Answer
Heparin monitoringaPTT, platelets, Hgb, Hct
DalteparinFragmin
Pradaxa dosing150mg BID with or without food, if CrCl <30 then 75mg BID
When to reduce lovenox to QD dosingwhen CrCl is <30ml/min
Recommended first for use in HITArgatroban
When to pull an anti Xa level on Lovenoxpeak at 4 hours after last dose
Once pradaxa is opened, they must be used within120 days
Coumadin with phenobarbINR will decrease, clot, and die
FondaparinuxArixtra
Lovenox tx dose1mg/kg QD
Long term heparin use may cause which SEosteoporosis
Boxed warning for LMWHspinal or epidural hematoma
memorize

Section

,,,,,,,,,,,,,,,,,,,,,,,= Section 2
Question Answer
Duration of anticoag following cardioversion4 weeks
Lab to consider with CoumadinAlbumin--hightly PPB
CHADS2CHF, HTN, age >75, DM, stroke
VASCVascular disease, age 65-74, sex female
Chads2vasc of 1no anticoag or maybe ASA
Chads2vasc of 2 or >oral anticoag
Lovenox use during STEMI30mg bolus followed by 1mg/kg q 12
Option for antithrombin def ptArgatroban
How soon to resume lovenox therapy following high risk surgery48-72h
Which medications will induce warfarin metabolismRifampin, st john's wort, phenytoin
Heparin dosing80mg/kg IV bolus followed by 18units/kg/hr
memorize

Section 3

Question Answer
Natural products that increase INRGlucosamine, grapefruit, willow bark
Natural products that decrease INR alfalfa
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