Created by Jennifer Huber
over 6 years ago
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What are the 3 initial responses to vascular injury?
Intrinsic Pathway
Extrinsic Pathway
Common Pathway
Prothrombin Complex
What does fibrin do?
What does Factor XIII do?
Effects of Thrombin
Effects of Antithrombin III
Effects of Heparin on Antithrombin III
Protein C
Protein S
Molecules associated with fibrinolysis
Tissue Plasminogen Activator
Plasmin
Alpha-2 Antiplasmin
Factor with the shortest half-life
What factors are lost in stored blood but not FFP?
Which factor is not synthesized in the liver?
Where is it synthesized?
Which Factors are Vitamin K dependent?
How long does it take for Vitamin K in IV form take to have an effect?
What is Factor II?
Normal half-life of RBC
Normal half-life of platelets
Normal Half-life of PMNs
Prostacyclin
- where is it from?
- what effects does it have?
Thromboxane (TXA2)
- where is it from?
- what are its effects?
GpIIb/IIIa receptor
GpIb Receptor
Cryoprecipitate
- what does it contain?
- What diseases is it commonly used for?
FFP
DDAVP and conjugated estrogens release which factors?
What does prothrombin time (PT) measure?
What does partial thromboplastin time measure?
What range do we want?
Activated Clotting Time we want for routine A/C vs for cardiopulmonary bypass
relative contraindication to performing surgical procedures (INR)
Relative contraindication for placing a central line, percut. needle biopsies, and eye surgery
MCC of surgical bleeding
MC congenital bleeding disorder
MC symptom associated with vWD
Which type(s) of vWD are autosomal dominant?
Which type(s) of vWD are autosomal recessive?
Effects of vWF
Effects of vWD on PT and PTT
Effects of vWD on bleeding time
MC type of vWD
Which type of vWD is most severe?
What is Type I vWD?
and it's treatment
What is Type II vWD?
what is its treatment?
what is Type III vWD?
Treatment?
What is Hemophilia A?
MC symptom?
PT and PTT in Hemophilia A
What to do for Hemophiliac joint bleeding
Treatment for Hemophiliac epistaxis, ICH, or hematuria
Hemophilia B
and treatment
PT and PTT in Hemophilia B
Factor VII deficiency
PT & PTT, and treatment
Symptoms associated with Platelet Disorders
What can cause acquired thrombocytopenia
What is Glanzmann's Thrombocytopenia?
Its treatment
Bernard Soulier and its treatment
Uremia and its effect on platelets
Treatment
Antibody associated with HIT syndrome
Difference between HIT and HITT
Clinical Signs of HIT
Type a clot that is formed associated with HIT syndrome
Diagnostic Testing for HIT syndrome
Treatment of HIT syndrome
What is DIC?
What is increased and decreased on bloodwork?
Treatment for DIC
When do you stop aspirin before surgery?
MoA and Effects of aspirin
When to Stop Clopidogrel (Plavix) before surgery
MoA of clopidogrel
How to treat someone for bleeding while on Clopidogrel/Plavix
What to do for a patient with coronary stent and need to stop Plavix for elective surgery?
Treatment for bleeding in a patient on Coumadin
When to stop Coumadin prior to surgery
Platelet levels prior to surgery
and after surgery
Effects of prostate surgery on coagulation
Best way to predict bleeding risk
MC congenital hypercoagulability disorder
Effects of Factor Leiden V mutation
Tx for Factor Leiden V mutation
Effects of hyperhomocysteinemia and treatment for it
Prothrombin gene defect G20210A
Treatment of G20210A
Treatment of Protein C or S deficiency
Polycythemia Vera
What platelet and Hct levels are expected in patients with Polycythemia Vera prior to surgery?
Treatments for Polycythemia Vera
Symptoms with Anti-phospholipid antibody syndrome
Antibodies associated with anti-phospholipid antibody syndrome
Diagnostic Tests for Anti-phospholipid Ab Syndrome (not antibodies)
Treatment for anti-phospholipid antibody syndrome
MC factor for acquired hypercoagulability
Name 10 Causes of Acquired Hypercoaguable states
Warfarin-induced skin necrosis
Tx of Warfarin-induced skin necrosis
Virchow's Triad
Key element in the development of arterial thrombosis
Indications for IVC filter placement
How to treat someone for DVT post-op
1st time?
2nd time?
3rd time?
MC origin for PE
Aminocaproic Acid (amicar)
MoA
When to use Aminocaproic Acid
MoA of Warfarin
List 3 direct thrombin inhibitors
(PO)
How do sequential compression devices (SCDs) work?
How to reverse heparin
Half-life of heparin
How is heparin cleared from the system?
Protamine Reaction
which anticoagulant is safer to use in pregnancy? and why?
Heparin or Warfarin
Low Molecular Weight Heparin
Argatroban
Bivalirudin
(Angiomax)
Hirudin (Hirulog)
Ancrod
3 thrombolytics
Absolute Contraindications for Thrombolytics
Major Contraindications
to Thrombolytic Use
Minor Contraindications to Thrombolytics