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Bivalirudin

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Pharmacology for Nurses

Definition

Bivalirudin is a direct thrombin inhibitor used as an anticoagulant. It is often employed in patients undergoing percutaneous coronary intervention (PCI).

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5 Must Know Facts For Your Next Test

  1. Bivalirudin is administered intravenously.
  2. It works by directly inhibiting both free and clot-bound thrombin.
  3. Commonly used in patients with heparin-induced thrombocytopenia (HIT).
  4. Has a rapid onset of action and short half-life, allowing for quick adjustments.
  5. Requires monitoring of activated clotting time (ACT) during procedures.

Review Questions

  • How does bivalirudin inhibit thrombin?
  • Why might bivalirudin be preferred over heparin in certain patients?
  • What is the significance of bivalirudin's short half-life in clinical practice?

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