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TT2 ANTIPLATELET
TT2 NHCC ANTIPLATELET AGENTS
Question | Answer |
---|---|
What are some examples of antiplatelet agents? | Aspirin, clopidogrel, dipyridamole, pentoxifylline, ticlopidine |
What is the action? | Work at the initial step of the coagulation process preventing platelet adhesion. |
What are the uses of aspirin? | analgesic, anti-inflammatory, & antipyretic properties. It also has potent antithrombotic and hematologic effects. |
What are the uses of Dipyridamole? | used as an adjunt to warfarin in the prevention of postoperative thromboembolic complications. |
What are the uses of Ticlopidine? | useful for reducing the risk of fatal and nonfatal thrombotic stroke |
What are the uses of the GP IIb/IIIa inhibitors ? | are used to treat acute unstable angina and during percutaneous coronary antioplasty (PTCA) procedures. Their purpose is to prevent platelet aggregation and the formation of any kind of thrombus or embolus |
What are the major side effects/adverse reactions to aspirin on the CNS? | stimulation, drowsiness, dizziness, confusion, flushing |
What are the major side effects/adverse reactions to aspirin on the GI? | N&V, GI bleeding, diarrhea, heartburn |
What are the major side effects/adverse Hem. reactions to aspirin? | Thrombocytopenia, agranulocytosis, leucopenia, neutropenia, hemolytic anemia, bleeding |
What are the major side effects/adverse reactions to Clopidogrel on the CV? | Chest pain, hypertension, edema |
What are the major side effects/adverse reactions to Clopidogrel on the CNS? | flulike symptoms, HA, dizziness, fatigue |
What are the major side effects/adverse reactions to Clopidogrel on the GI? | Abdominal pain, dyspepsia, diarrhea, nausea |
What are the major side effects/adverse reactions to Clopidogrel? | Epistaxis and integumentary disorders including rash & pruritis |
What are the major side effects/adverse reactions to Pentoxifylline on the CV? | angina, dysrhythmias, palpitation, hypotension, chest pain, dyspnea |
What are the major side effects/adverse reactions to on the CNS? | HA, anxiety, tremors, confusion, dizziness |
What are the major side effects/adverse reactions to on the GI? | bloating, constipation, dry mouth, thirst, bad taste |
What are the contraindications? | Known drug allergy, Thrombocytopenia, Active bleeding, Leukemia, Traumatic injury, Recent stroke |
What are the pharmacokinetics? | Metabolized in the liver, Excreted via the kidney |
What are the interactions of Ticlopidine w/ antacids? | ↓ absorption |
What are the interactions of Ticlopidine w/ digoxin? | ↓ plasma level of digoxin |
What are the interactions of Ticlopidine w/aspirin? | NOT recommended to use with aspirin |
What are the interactions of Dipyridamole w/aspirin? | ↑ antiplatelet activity |
What are the interactions of Aspirin + NSAIDS ? | potentiate bleeding |
What are the interactions of Aspirin + steroids or NSAIDS? | ↑ ulcerogenic effects |
What are the interactions of Aspirin and heparin with GP IIb/IIIa inhibitors? | ↑ antiplatelet activity & ↑ likelihood of serious bleeding episode |
What are 2 nursing dx to use with antiplatelet agents? | 1. Ineffective tissue perfusion, Risk for trauma |