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Thrombolytics
Alteplase (Activase) and Tenecteplase (TNKase)
UFH
Treatment: ____ units/kg ____, then ____ units/kg/hr ____
Prophylaxis: ____ units ____ every ____
80, bolus, 18, continuous IV, 5000, SC, 8-12 hours
____: ____ (Lovenox)
Treatment: ____ mg/kg ____ every ____
Prophylaxis: ____ mg ____
LMWH, Enoxaparin, 1, SC, 12 hours, 40, SC QD
____ (Coumadin)
Dosing varies, usually ____ mg ____
Warfarin, 1-10, QD
____: ____ (Pradaxa)
VTE and AF: ____ mg ____
DTI, Dabigatran, 150, PO BID
____: ____ (Xarelto)
VTE: ____ mg ____ x ____, then ____ mg ____
AF: ____ mg ____
Factor Xa Inhibitor, Rivaroxaban, 15, PO BID, 3 weeks, 20, PO QD, 20, PO QD
____: ____ (Eliquis)
VTE: ____ mg ____ x ____, then ____ mg ____
AF: ____ mg ____
Factor Xa Inhibitor, Apixaban, 10, PO BID, 7 days, 5, PO BID, 5, PO BID
____: ____ (Savaysa)
VTE and AF: ____ mg ____
Factor Xa Inhibitor, Edoxaban, 60, PO QD
____: ____ (Arixtra)
Factor Xa Inhibitor, Fondaparinux
____: Betrixaban
Factor Xa Inhibitor
____ (Lipitor)
____ mg
Atorvastatin, 10-80
____ (Zocor)
____ mg
Simvastatin, 5-40
____ (Crestor)
____ mg
Rosuvastatin, 5-40
____ (Pravachol)
____ mg
Pravastatin, 10-80
____ (Zetia)
Ezetimibe
____: Aspirin
Dose: ____ mg
Anti-thrombotic, 81-325
____: ____ (Plavix)
Dose: ____ mg
Anti-thrombotic, Clopidogrel, 75
____: Cilostazol and Pentoxifylline
PDE inhibitors
____: ____ (Coumadin)
Anticoagulant, Warfarin
____: ____ (Xarelto)
Anticoagulant, Rivaroxaban
Lovastatin
Limit to ____ mg/day with ____, ____
Limit to ____ mg/day with ____, ____, ____
40, amiodarone, ticagrelor, 20, Amlodipine, Diltiazem, Verapamil
Simvastatin
Limit to ____ mg/day with ____, ____, ____
Limit to ____ mg/day with ____, ____
20, amiodarone, amlodipine, bempedoic acid, 10, Diltiazem, Verapamil
Pravastatin
Limit to ____ mg/day with ____ (OATP1B1/B3 inhibition)
40, bempedoic acid
All statins
Avoid combination with ____
Monitor closely with ____
Gemfibrozil, Colchicine