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Details

Adults II - cardiac meds
anticoagulants
22
Medical
Not Applicable
06/22/2008

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Cards

Term

What is the action of an anticoagulant?

Definition
to prevent growth of established thrombus
Term
Name the most frequently used low molecular weight heparin
Definition
Lovenox (enoxaprin)
Term
Often given to pts with...
Definition
ACS
Term
How is heparin adjusted? (2 things)
Definition

weight

aPTT level

Term
aPPT desired level?
Definition
50-70
Term
Which anticoagulant is used for ACS?
Definition
Lovenox
Term
What labs do you monitor for a pt on anticoagulant therapy?
Definition

H&H

platelets

Term
Why are platelets monitored for a pt on anticoag. therapy?
Definition
to observe for heparin-induced thrombocytopenia
Term
What does recurrent ischemia, active bleeding and HYPOtension signify?
Definition

subtherapeutic dosage

OR

supratherapeutic dosage

 AND

should be evaluated immediately

Term

What test is used to monitor therapeutic levels?

Definition
aPTT
Term
aPTT level should be?
Definition
1.5-2.5
Term
What does aPTT/PTT monitor?
Definition
heparin
Term
PT/INR monitors what?
Definition
coumadin
Term
What is the PT range suposed to be?
Definition
11-13
Term
What is the INR suposed to be?
Definition
2-3 times the norm.
Term
Heparin is given by __?__
Definition

IV

Term
Coumadin is given by?
Definition
po
Term
What are 2 things that you must look for when your pt is on anticoag. therapy?
Definition
bleeding and bruising
Term
What is the antidote for heparin?
Definition
protamine sulfate
Term
Severe S/E, adverse R/A for Heparin
Definition

bleeding

hemorrhage

hematoma

severe HYPOtension

Term
aPTT level
Definition
20-35
Term

What can Heparin be used for?

Definition

venous thrombus

PE

thromboembolytic complications

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