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Anticoagulant, IV -catalytically accelerated Antithombin III interaction with thrombin to inactivate it and leads to inhibition of blood clotting Use w/ -DVT, PE -DIC -major abdominal surgery, etc start with heparin and continue with oral anticoagulants *contraindicated w/anti-platelet drugs! |
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Anticoagulant, orally effective -blocks epoxide reductase leading to no gamma-carboxylation of certain coagulation proteins -in vivo induce hypocoagulability -chronic alcoholics increased conc of warfarin in blood *dont give to preg women! crosses placenta!! |
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Heparin Neutralizer -use if bleeding occurs with use of heparin |
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Fibrinolytic inhibitors -competitively inhibits plasminogen activation |
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Vitamin K1 (phytonadione) |
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Antiplatelet drugs -irreversible acetylates COX--> inhibits thromboxane A2 syntheses -inhibit platelet content release and aggregation -small does aspirin 325 mg/day--> prophylaxis of myocardial mortality |
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Antiplatelet drugs *ADP Receptor Blocker -with surgery for coronary stint -transient ischemic attacks, complex strokes, unstable angina pectoris *PRODRUG--> CYP2C19 if mutated will have higher CV event rate (PPI ihibit CYP2C19) |
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Antiplatelet drugs GP IIB/IIIA Receptor Blocker -adjuvent in percutaneous angioplasty for coronary thrombosis |
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*Fibrinolytic (enzyme) -human protease enzyme synthesisized by the kidneys -converts directly plasminogen to plasmin *thrombolytic drug used for acute MI |
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*Fibrinolytic (enzyme) *thrombolytic drug used for acute MI |
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