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<title>SIDP</title>
<pubDate>Mon, 17 Mar 2003 14:58:30 -0600</pubDate>
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<description>SIDP</description>
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<title>Test 3</title>
<link>http://www.sidp.org/Article3.html</link>
<description>







Clinical Applications of Direct 











Clinical Applications of Direct Thrombin Inhibitors 

&amp;nbsp;

Tom Vondracek,Pharm.D., BCPS

&amp;nbsp;

Objectives

By the conclusion of this presentation the pharmacist shall
be able to: 

&amp;nbsp;

1.     Compare and contrast the pharmacologic
profiles of the different direct thrombin inhibitors.

&amp;nbsp;

2.     Discuss the different clinical situations
in which these agents may be used.

&amp;nbsp;

3.     Describe the proper monitoring parameters
when using these agents.

&amp;nbsp;

&amp;nbsp;

Pre/Post Questions

&amp;nbsp;

1.&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
Which of the following agents is indicated for use as
an anticoagulant in patients with unstable angina undergoing percutaneous
transluminal coronary angioplasty?

&amp;nbsp;


 Argatroban
 Lepirudin
 Bivalirudin
 All
     the above 


&amp;nbsp;

2.     Which of the following agents do not
require dose adjustment for renal dysfunction?

&amp;nbsp;


 Argatroban
 Lepirudin
 Bivalirudin
 All
     the above 


&amp;nbsp;

3.&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
In a patient receiving a direct thrombin inhibitor for
the treatment of heparin-induced thrombocytopenia, which of the following are
recommended monitoring parameters?

&amp;nbsp;

A     aPTT


 Platelet
     count


C.&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
H/H


 Signs
     and symptoms of bleeding or thrombosis
 All
     the above should be monitored 


&amp;nbsp;

4.&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;
Which of the following are clinical scenarios in which
direct thrombin inhibitors may be utilized?

&amp;nbsp;


 Treatment
     of Heparin-induced thrombocytopenia (HIT)
 As a
     replacement for heparin in a patient receiving a coronary stent
 As a
     replacement for heparin in a patient undergoing hemodialysis
 Prevention
     of the development of HIT
 All of
     the above


&amp;nbsp;

5.     Which of the following agents is
recommended to be dosed as a continuous infusion, with no need for a loading
dose?

&amp;nbsp;


 Argatroban
 Lepirudin
 Bivalirudin
 All
     the above







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<pubDate>Mon, 17 Mar 2003 14:58:30 -0600</pubDate>
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<title>test2</title>
<link>http://www.sidp.org/Article2.html</link>
<description>test2</description>
<pubDate>Sat, 15 Mar 2003 15:50:11 -0600</pubDate>
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<title>MACCP Site Launch</title>
<link>http://www.sidp.org/Article1.html</link>
<description>This is a sample article about the MACCP site launching.</description>
<pubDate>Mon, 20 Jan 2003 18:47:36 -0600</pubDate>
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