Anticoagulation Therapy

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Which factor is NOT typically associated with the etiology of deep vein thrombosis (DVT)?

  • Venous stasis
  • Endothelial damage
  • Increased red blood cell production (correct)
  • Hypercoagulability of blood

What term describes a blood clot that travels from its site of origin to another location in the body?

  • Thrombus
  • Embolus (correct)
  • Stasis
  • Plaque

If a patient's activated partial thromboplastin time (aPTT) result is significantly prolonged (e.g., 112 seconds), how should the heparin rate be adjusted?

  • Decreased (correct)
  • Discontinued immediately
  • Maintained at the same level
  • Increased

Which type of medication works by inhibiting cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2?

<p>NSAIDs (D)</p> Signup and view all the answers

Hypoxemia related to pulmonary embolism would most likely directly result in which sign?

<p>Tachycardia (B)</p> Signup and view all the answers

Which of the following is the main adverse effect associated with antiplatelet, anticoagulant, and fibrinolytic treatments?

<p>Bleeding (C)</p> Signup and view all the answers

Which medication is used to reverse the effects of heparin or low molecular weight heparin (LMWH)?

<p>Protamine sulfate (D)</p> Signup and view all the answers

What is a common clinical sign indicative of hemorrhage?

<p>Bruising (B)</p> Signup and view all the answers

What is another term used to describe arterial thrombosis?

<p>Infarction (D)</p> Signup and view all the answers

In patients with renal dysfunction, how should direct oral anticoagulants (DOACs) be managed?

<p>Avoid use if possible or adjust the dosage (D)</p> Signup and view all the answers

What laboratory test is typically used to measure the therapeutic range of heparin?

<p>Activated Partial Thromboplastin Time (aPTT) (A)</p> Signup and view all the answers

Which of the following should raise suspicion for heparin-induced thrombocytopenia (HIT)?

<p>A rapid fall in platelet count during heparin therapy (D)</p> Signup and view all the answers

Which class of drugs functions by irreversibly inhibiting platelet aggregation through blocking ADP receptors?

<p>Thienopyridines (A)</p> Signup and view all the answers

What is the role of plasmin?

<p>Degrade the fibrin meshwork of a clot (C)</p> Signup and view all the answers

Rivaroxaban (Xarelto) and Apixaban (Eliquis) act by directly inhibiting?

<p>Factor Xa (D)</p> Signup and view all the answers

During primary hemostasis, what process occurs after platelets adhere to the site of vascular injury?

<p>Platelet activation with subsequent aggregation (C)</p> Signup and view all the answers

At therapeutic levels, how does warfarin affect vitamin K-dependent clotting factors?

<p>Decreases production by 30-50% (D)</p> Signup and view all the answers

Which of the following best describes venous thrombosis that develops in areas of slow blood flow?

<p>Stasis (A)</p> Signup and view all the answers

What is the purpose of 'bridging therapy' when initiating warfarin treatment?

<p>To provide immediate anticoagulation until warfarin takes full effect (A)</p> Signup and view all the answers

What standardized value is used to evaluate the effectiveness of warfarin?

<p>INR (A)</p> Signup and view all the answers

Flashcards

Virchow's Triad

Venous stasis, endothelial damage, and hypercoagulability of blood.

Embolus

Another term for traveling clot.

INR Increase

Occurs at therapeutic levels; warfarin decreases Vitamin K dependent factors by 30-50%.

Primary Hemostasis

Platelets adhere, activate, and aggregate.

Signup and view all the flashcards

Hemophilia

Genetic bleeding disorder caused by a lack of clotting proteins.

Signup and view all the flashcards

INR

The standardized value used for evaluating warfarin's effectiveness.

Signup and view all the flashcards

Renal dysfunction

DOACs should be adjusted for this.

Signup and view all the flashcards

Heparin/LMWH

Protamine sulfate is the reversal agent for this.

Signup and view all the flashcards

Thrombin

Anticoagulants prevent the production of this.

Signup and view all the flashcards

NSAID

A medication that works by inhibiting the enzymes COX-1 and COX-2.

Signup and view all the flashcards

Dabigatran

A DOAC that works by inhibition of thrombin.

Signup and view all the flashcards

Hypoxemia

Pulmonary Embolism

Signup and view all the flashcards

Clotting Factors

Anticoagulants prevent this production.

Signup and view all the flashcards

Anti-Xa assay

The therapeutic range is measured using this.

Signup and view all the flashcards

Thrombolytics

Also known as a "Clot Buster"

Signup and view all the flashcards

Hemorrhage

A sign of internal bleeding.

Signup and view all the flashcards

Venous thrombosis

Occurs when blood flow is slow.

Signup and view all the flashcards

Heparin

Given for bridging until warfarin is effective.

Signup and view all the flashcards

Study Notes

Across

  • DVT etiology includes venous stasis, endothelial damage, and hypercoagulability of blood.
  • A traveling clot is called an embolus.
  • If a patient's aPTT result is 112, the heparin rate will be decreased.
  • A medication that works by inhibiting the enzymes COX-1 and COX-2 is an NSAID.
  • A sign that results from hypoxemia related to pulmonary embolisms is dyspnea.
  • The main adverse effect of concern with antiplatelet, anticoagulant, or fibrinolytic treatment is bleeding.
  • The reversal agent for heparin or LMWH medications is protamine sulfate.
  • A sign of hemorrhage is ecchymosis.
  • Arterial thrombosis can also be called a white clot.
  • All DOACs should be adjusted for renal dysfunction.
  • The therapeutic range of heparin is measured by using the aPTT.

Down

  • Heparin-induced thrombocytopenia should be suspected if platelets fall rapidly during heparin treatment.
  • A drug that works by irreversibly inhibiting platelet aggregation by blocking ADP receptors is clopidogrel.
  • An enzyme that degrades the fibrin meshwork of a clot is plasmin.
  • A DOAC that works by directly inhibiting thrombin is dabigatran.
  • During primary hemostasis, platelets adhere, activate and aggregate.
  • At therapeutic levels, warfarin decreases vitamin K dependent factors by 30-50%.
  • Venous thrombosis occurs where blood flow is slow, known as stasis.
  • Giving a short acting anticoagulant until warfarin is at steady state is bridging.
  • Standardized value used for evaluating warfarin's effectiveness is INR.
  • A genetic bleeding disorder caused by a lack of clotting proteins is hemophilia.
  • All anticoagulants prevent the production of thrombin.
  • Primary hemostasis is the formation of the platelet plug.
  • A "Clot Buster" is a thrombolytic.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Anticoagulation and Thrombosis Quiz
10 questions
Anticoagulation and Thrombosis Quiz
10 questions
Use Quizgecko on...
Browser
Browser