What is the main difference between antiplatelet drugs and anticoagulants?
Antiplatelet drugs act mainly on platelet activation or aggregation; anticoagulants act mainly on coagulation factors and fibrin formation.
Study 1 Anticoagulation and Antiplatelet Therapy Principles with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What is the main difference between antiplatelet drugs and anticoagulants?
Antiplatelet drugs act mainly on platelet activation or aggregation; anticoagulants act mainly on coagulation factors and fibrin formation.
What is the final common pathway of coagulation?
Factor Xa supports thrombin generation, and thrombin converts fibrinogen to fibrin, which stabilizes the clot.
How does heparin reduce coagulation?
Heparin enhances antithrombin activity, inhibiting thrombin and factor Xa; the relative effects depend on the heparin preparation.
How does warfarin affect clotting-factor production?
Warfarin inhibits vitamin K recycling, reducing production of functional factors II, VII, IX, and X, as well as proteins C and S.
Which coagulation targets do the listed DOACs inhibit?
Dabigatran directly inhibits thrombin; apixaban, edoxaban, and rivaroxaban directly inhibit factor Xa.
How does aspirin inhibit platelet activity?
Aspirin inhibits platelet cyclooxygenase, reducing thromboxane A₂ production and platelet activation.
How does clopidogrel reduce platelet activation?
Clopidogrel is a P2Y12 inhibitor that reduces ADP-mediated platelet activation.
Which tests commonly guide IV unfractionated-heparin adjustment?
Unfractionated heparin is commonly assessed using aPTT or a heparin-calibrated anti-Xa assay, according to the local protocol.
Which test guides routine warfarin dosing?
Warfarin dosing is adjusted using the INR, which standardizes the prothrombin-time result.
How are DOACs usually monitored in routine care?
DOACs usually do not require routine INR-based dose adjustment, but clinical follow-up—including kidney-function assessment when appropriate—remains important.
What reversal agent is used for unfractionated heparin?
Protamine sulfate is used to reverse unfractionated heparin.
What approach may reverse warfarin in serious bleeding?
When urgent reversal is indicated, warfarin may be reversed with vitamin K plus four-factor prothrombin complex concentrate (PCC).
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