Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
tx of unstable angina/NSTEMI |
MONA-GAP-BA
|
|
what dose MONA-GAP-BA stand for
|
Morphine, Oxygen, Nitrates, ASA
GP iib/iiia recept antag, Anti-coag, P2Y12 inhibt, BB, ACEI |
|
example of GPIIb/IIIa antag
MOA |
these are used when pt is going for intervention (stent or PCI)
abciximab block fibrinogen binding to platelets, preventing aggreg. |
|
P2Y12 inhib
exampleses MOA |
Clopidogrel and prasugrel
|
|
Plavix BBW
|
DIMINISHED EFFECTIVNESS IN POOR METABOLIZERS
-test for 2c19 alleles 2 and 3 will not covert Plavix to active metabolite as much, more thrombosis |
|
Plavix
SE |
bleeding, bruising, rash
TTP- rare thrombotic thrombocytopenic purpura- purple skin rashes |
|
what SE are seen with glycoprotein iib/iiia antag
|
bleeding, thrombocytopenia (esp abcixamab) and hypotension
|
|
abciximab
brand |
ReoPro
|
|
Eptifibatide
brand |
integriline
|
|
prasugrel
brand moa |
effient
p2y12 inhibitor |
|
ticagrelor
brand BBW SE |
brilinta
avoid use with ASA 100 mg or >-decreases ticagrelor's effectiveness, use with 75mg-100mg SE- dyspnea >10%, bleeding |
|
STEMI tx
|
MONA + GAP-BA + thrombolytics
|
|
when to use thrombolytics
|
if pt is not close to a hospital, exceeds the 90 min pci- door to balloon time
it should be initiated 30 minutes- door to needle time |
|
fibrinolytic meds
SE |
alteplase (t-PA)
streptokinase SE- bleeding, hypotension, intracranial hemorrhage, fever |
|
what meds should be stopped before cabg
|
D/C enoxaparin, fondaparinux, bivalirudin
start UFH |
|
long term 2ndary prevention of MI
if had a stent placed |
use ASA higher doses 162-325 mg daily x 1-6 months
THEN lower to 81mg use low dose if never had a stent |