Antiplatelet, Anticoagulant, Thrombolytic Agents

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  • čas přidán 17. 05. 2024
  • Official Ninja Nerd Website: ninjanerd.org
    You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
    www.ninjanerd.org/lecture/ant...
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Anticoagulants, Thrombolytics, and Antiplatelet Agents. Please be sure to use the table of contents to visit all of the chapters we have available in this detailed lecture. We hope you enjoy this lecture and be sure to support us below!
    Table of Contents:
    0:00 Lab
    0:07 Anticoagulants, Thrombolytics, Antiplatelets Introduction
    1:03 Platelet Plug Formation
    26:53 Coagulation Cascade
    50:29 Fibrinolysis
    1:00:45 Test Your Knowledge - Anticoagulants, Thrombolytics, Antiplatelets MOA
    1:04:07 Neurological Events
    1:10:41 Cardiac Events
    1:27:34 Pulmonary Events
    1:32:03 Peripheral & Central Vascular Events
    1:44:29 Venous Thromboembolism Prophylaxis
    1:48:59 Prevention of Circuitry/Catheter Clotting
    1:53:32 Acetylsalicylic Acid (Aspirin) Adverse Effects
    2:00:05 Aspirin Toxicity
    2:02:57 P2Y12 Receptor Blockers Adverse Effects
    2:13:15 PDE-3 Inhibitors Adverse Effects
    2:15:07 Heparin (UFH + LMWH) Adverse Effects
    2:26:50 Direct-Acting Oral Anticoagulants (DOACs) Adverse Effects
    2:30:36 Warfarin Adverse Effects
    2:39:21 Bleeding! Most Feared Adverse Effect
    2:45:50 Drug Level Monitoring
    2:55:10 Drug Reversal
    3:02:30 Anticoagulants, Thrombolytics, Antiplatelets Practice Problems
    3:10:18 Comment, Like, SUBSCRIBE!
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Komentáře • 301

  • @collinstage97
    @collinstage97 Před rokem +319

    This man and his team should get a Nobel Peace prize for the amount of medical education they put out for free

    • @DanielM-il4rz
      @DanielM-il4rz Před rokem +7

      @Collin Stage , with over 2million subscribers, all the ad links and just the vast amount of videos uploaded to CZcams, don’t worry, “Ninja Nerd” is getting paid!! I do agree, they do a great job with the wealth of knowledge that is provided by this channel. 👍❤️

    • @AlexanderHardy-hj5dy
      @AlexanderHardy-hj5dy Před rokem +2

      "accurate medical education"

    • @emmanuelmukuka5049
      @emmanuelmukuka5049 Před rokem

      @@DanielM-il4rzhh hyhhhhhhhhhghhh

    • @Smtout1
      @Smtout1 Před rokem

      Agreed

  • @jenavdg
    @jenavdg Před rokem +128

    Bro, unbelievable how you keep two hours of material in your head without notes or power point. Absolutely gifted

    • @markmurto
      @markmurto Před rokem +6

      He took breaks. Had to. But you're right!

    • @jundelira7119
      @jundelira7119 Před měsícem

      I think , he is an A.I.

  • @Medical_life_with_John
    @Medical_life_with_John Před rokem +234

    Ninja is Albert Einstein of the 21st century.

  • @lyricsmusic4569
    @lyricsmusic4569 Před 4 dny +1

    I swear we have a lot of professors and professors and many who hold high academic degrees, but not everyone who holds a degree becomes a teacher in my opinion. Those who are able to simplify and communicate information are the ones who deserve to be appreciated and called professors, not those who hold a degree without being able to communicate ideas as well. Do, may God bless you, and we are always waiting for everything new from you. All the love from Syria❤

  • @user-nr8xi4we2h
    @user-nr8xi4we2h Před rokem +29

    Protect this man at all cost! Cant thank you enough for simplifing such a complex topic, once again! Long live Professor Zach Murphy!

  • @mferso
    @mferso Před rokem +41

    I Apreciate your tremendous effort to do these classes. I can say your class is much better than many professors!

  • @nkemezekwe1382
    @nkemezekwe1382 Před rokem +9

    I don’t think I’ll ever come across anyone that can teach like you, U take a person from stupid to genius. Thank you.

  • @garlicbread301
    @garlicbread301 Před rokem +9

    Someone give this man a crown. He's a king!

  • @RambabuLakavath
    @RambabuLakavath Před rokem +13

    We admire you from india. Iam a resident in internal medicine . To know any concept i will watch ninja nerd channel then i go to text books. Really we are very much in debt to you for this wonderful teaching. You have world wide fans sir

  • @CaseyRoff
    @CaseyRoff Před rokem +12

    Zac and the team... what the heck did I just watch? This was EXACTLY the lecture on antiplatelets, anticoags and thrombolytics I needed. I was always confused on why we give P2Y12 and ASA for MI and not Heparin, ASA and P2Y12 for stroke ect ect but this just made it so clear. Then you give reversal agents, drug monitoring and case examples just to remind us that you're not just a channel for pre-med but for clinical med students too. Love it so much and so happy with how far you guys have come.

  • @lucaspreafico7298
    @lucaspreafico7298 Před 6 měsíci +7

    You are literally the substitute of my real pharmacology teacher

  • @ayshadalieva9929
    @ayshadalieva9929 Před rokem +11

    Huge gratitude from AZerbaijan. I don't know how I would be able to study medicine without your help.

  • @ginaramnath1268
    @ginaramnath1268 Před 7 měsíci +5

    This man (and the entire team) is a GOD-sent.

  • @muqtadaqutaiba2882
    @muqtadaqutaiba2882 Před rokem +29

    Thank you so much!!
    This pharmacology series is the greatest of all time no doubt

  • @dsch522
    @dsch522 Před rokem +21

    Zach your videos have been so incredibly helpful. My 62 Y/O wife has had Lupus since 1985. In 2015 her mitral valve was replaced due to Lippmann Sacks, in 2020 she had a massive DVT, and in October a subdural hematoma followed by bilateral PE’s, followed by an even bigger subdural.
    Your videos really made a difference. Whether Hematology (Platelets) or Brain anatomy. I seem to always find one of your videos that make it more understandable.

  • @PravinChandran1983
    @PravinChandran1983 Před rokem +7

    this huge, beautiful video about the anti-coagulants is beyond comprehension, how you get the patience and persistence to make these marvelous medical science videos that benefits folks all over the world in medicine and paramedical /nursing etc. ? , thumbs up to all involved and take care and thanks again,

  • @imanmeer7041
    @imanmeer7041 Před 8 měsíci +5

    Best lectures i have ever come across, bless you Zach🥰

  • @sivajinidarmendra2250
    @sivajinidarmendra2250 Před rokem +4

    Dear Professor, you're AMAZING....We all love you man.

  • @qman1131
    @qman1131 Před rokem +9

    This video came out in just the right time for me thank god.

  • @99Valem
    @99Valem Před rokem +6

    i have a pharmacology test on monday about this, i cannot thank u enough, i feel like u read my mind haha

  • @Drjpharmacy
    @Drjpharmacy Před rokem +7

    Pharmacist Intern here 🤘🏽 and I approve of this video 😎 especially all of the drugs listed and the MOA. Drugs is our specialty

  • @Lungmanvictor
    @Lungmanvictor Před rokem +5

    I have watched this video now 3 times in my ECMO training. You have the ability to make it all very simple for me to understand. Oh, I wish the Ninja Nerd: Doctpr Classic came in a white. Bought my brother one already.

  • @janetombe6027
    @janetombe6027 Před rokem +2

    I'm lucky to have you. I love your teaching. God bless you

  • @LilFella67
    @LilFella67 Před rokem +7

    Great content.
    One thing to remember, inpatient treatment of a confirmed clot (DVT/PE) requires heparin (or LMWH) combined with warfarin for a minimum of 5 days and INR >2 for 24 hours to prevent rebound clotting. Warfarin’s half life requires a much longer time combined with LMWH/Heparin to provide full anticoagulation.
    For DVT/PE prophylaxis, the overlap can be less.

    • @qman1131
      @qman1131 Před rokem

      Would you ever use tPA for a DVT/PE? I only hear about tPA for ischemic stroke events, but couldn't it help with DVT/PE as well?

    • @LilFella67
      @LilFella67 Před rokem +2

      @@qman1131
      Zach talked about using tPA infused directly onto the clot. We employ this option at work. Typically, it’s a low dose infusion directly onto the clot as the location is identified with radiology. That’s for DVT. We don’t use it with PE. Obviously, it’s a lot harder to feed the catheter to the clot location in the lung.

  • @Jetjetson
    @Jetjetson Před rokem +6

    Wonderful to see u Zack. Your ability to impart knowledge is Magic. Your art is your beauty and your beauty is your art 😊 Master Diagramming

  • @wwdpm
    @wwdpm Před 7 měsíci +1

    Long live zach.. You help me a lot. Cant say anything more than thankyou. God bless you.

  • @aurelienguitton4097
    @aurelienguitton4097 Před rokem +3

    You king, thank you for all you've done for me chief !

  • @eudorinaulva8123
    @eudorinaulva8123 Před rokem +2

    You and dr najeeb are my saviors in med school.....thank you so much for doing this ❤❤

  • @selenaserane2623
    @selenaserane2623 Před rokem +1

    Wow i finally finished the vedio! Its not about marks anymore, its about learning new stuff everytime,huge thx to zach and the crew

  • @cca8244
    @cca8244 Před rokem +9

    Thank you for your hard work! I am definitely a visual learner so really appreciate this form of education which is even for free. You're doing a great job with each video. Greetings from Germany

  • @sukh6566
    @sukh6566 Před rokem +2

    Went straight to this video, came out at the perfect time for me !

  • @yhkuo870
    @yhkuo870 Před 8 měsíci +2

    thank you so much for connecting all the knowledge........ from physiology to clinical importance! Much appreciated!

  • @mustafaahmed4091
    @mustafaahmed4091 Před 8 měsíci +3

    Thank you, Amazing work!!

  • @madieingman1450
    @madieingman1450 Před 8 měsíci +1

    These videos have been saving my life while in school! I absolutely love the content and find it easy to follow and so helpful in understanding difficult topics!

  • @DanielM-il4rz
    @DanielM-il4rz Před rokem +3

    Great job! Hospital Pharmacist here!! Job well done. 👍😊

    • @kxcreative6064
      @kxcreative6064 Před rokem +1

      how many of those drugs you know

    • @DanielM-il4rz
      @DanielM-il4rz Před rokem +1

      @@kxcreative6064 I have heard of and understand all of them…although, our hospital (like most Healthcare Facilities) only keeps a selected number/type in stock. Most hospitals have a formulary of medications that are stocked and used on a regular basis.

  • @ninodiogenes949
    @ninodiogenes949 Před 8 měsíci +2

    Awesome, always the best! tks a lot from Brasil.

  • @BilalAhmed-if8rv
    @BilalAhmed-if8rv Před rokem +6

    **hello zach in this lecture at 36:37 you have mentioned that gamma glutamyl transferase make proteins functional that are factor 2, 7, 9, 10, protein c and s but in another video of you on warfarin you have mentioned that it is gamma glutamyl carboxylase that make these proteins functional, the book I am studying for pharmacology is katzung and in that the enzyme mentioned for making the proteins functional is gamma glutamyl carboxylase not the transferase. So, I think it is a mistake.

  • @TOMMY-xo1rq
    @TOMMY-xo1rq Před rokem +2

    A walking work of art 🎨.
    Thank you sir ❤ .

  • @zackbullock8198
    @zackbullock8198 Před rokem +2

    Thank you for what you do! You have given answers to many questions I have about my condition. I have watched many of your videos.

  • @serahmed5346
    @serahmed5346 Před 3 měsíci

    The effort you are providing to teach us is incredible. Thank you so much sir Zach Murphy

  • @Heavyset_
    @Heavyset_ Před měsícem +2

    i fell asleep and woke up to this

  • @sawantiparang6660
    @sawantiparang6660 Před rokem +3

    Sir,,please keep all pharma lecture in one playlist,,it ll be easy to search

  • @angela2366
    @angela2366 Před rokem +1

    Fantastic information and so easy to understand! Thank you for taking the time to teach us!

  • @markmurto
    @markmurto Před rokem +4

    You were such a good teacher that I got all but one of the questions right at the end, [and that was the one where you said two choices, one was better in that case]. So I did pretty good and I'm not a medical student. I'm just a mechanical engineer type who loves this stuff.

  • @sajiruddinsk8129
    @sajiruddinsk8129 Před rokem +1

    Don't compare with another, Ninja nerd is the best lec

  • @atsbhah1971
    @atsbhah1971 Před měsícem

    I wish you released these videos when I was in med school, but I am making the best of them even now.

  • @SnowInHere
    @SnowInHere Před rokem +3

    Keep up bro, your lectures are the BEST out there!

  • @troykarlwena9115
    @troykarlwena9115 Před rokem +1

    Thank you Prof. Zack Murphy, your video does help me alot. Not, only this one but all of your videos. I'm with you all the way from Papua New Guinea 🇵🇬. Please, do more videos to help us understand more. Your biggest fan.

  • @waleedhussain9311
    @waleedhussain9311 Před 2 měsíci

    This guy must be from another planet .Hats off. Salute 🫡 .no words can define your efforts 👌.

  • @lananhtran9345
    @lananhtran9345 Před 10 měsíci +1

    Awesome. I've learnt deeply all of knowdledge in this video. It make me clearly understand about antiplete, anticoagulation and thrombolytic mechanism. Thanks for a lot!

  • @gwynettsiriban3470
    @gwynettsiriban3470 Před 9 měsíci

    I've been here since high school and you've helped me alot

  • @NaveedAhmad-xb2io
    @NaveedAhmad-xb2io Před rokem +6

    Great Work Professor Zach. You have made Pharmacology so easy.......Please make a video on CNS Pharmacology and Anti-psychotic Drugs & Epileptic drugs.......Love from Pakistan

    • @druutlectures
      @druutlectures Před rokem

      Zalim apnay Pakistanio k lectures Nahi milay Kia ?
      ☺️

  • @kelvinchan3069
    @kelvinchan3069 Před 5 měsíci +1

    Thank you for all your hard work. Much appreciated.

  • @sureshkumar.t1300
    @sureshkumar.t1300 Před rokem +2

    Sir we are from India no one give good content in general pathology neoplasia and all pls take general pathology also sir in your style ☺️

  • @indianasb59
    @indianasb59 Před 6 měsíci +1

    You are such an amazing teacher!!!

  • @abrahamendale2729
    @abrahamendale2729 Před rokem +1

    I appreciate you my bro from Ethiopia

  • @woderyeleshkefale9791
    @woderyeleshkefale9791 Před 7 měsíci +1

    Thanks a lot for your effort to share your knowledge with us

  • @mohammadnawaz4450
    @mohammadnawaz4450 Před rokem +3

    Love you Zack and team oh my god! You guys are doing great great job new pharmacology series love it from my heart

  • @MsEducatedScholar
    @MsEducatedScholar Před rokem +5

    I love this channel. I found it this semester, my last semester of nursing school, and it’s so hopefully! I took anatomy several years ago & these videos are great at helping me remember things I thought I forgot. Zach, is an excellent teacher and it’s great to learn from someone who is excited about teaching, as it shows in his lectures. Please consider a way that students, grads, etc. can contribute to your channel to help it and your website grow. I refer classmates to your channel weekly and it’s so appreciated! ❤️

  • @solsanchez5228
    @solsanchez5228 Před rokem +1

    Wheew!!! You're the goat Prof. Much awe and respect🥰

  • @johntom2362
    @johntom2362 Před 5 měsíci +2

    Thank you very much Prof.

  • @harshitagautam9414
    @harshitagautam9414 Před rokem +5

    Thanks a lot for your hard work
    Your explanations are awesome
    Can you please cover Tuberculosis next week.

  • @queteimporta7049
    @queteimporta7049 Před 3 měsíci +1

    You deserve the best

  • @getxited
    @getxited Před 5 měsíci +1

    Wow listen you are one of a kind !!!! Infinite and accurate knowledge love it.
    Thank you sssooooooooooooooo much

  • @vinceh1306
    @vinceh1306 Před rokem +2

    Amazing work, job well done!

  • @zaidkhan-yc3fd
    @zaidkhan-yc3fd Před 11 měsíci

    Thank you sir. I become sedative to watch your lectures . I always search ninja nerd for new topic

  • @Usanov19
    @Usanov19 Před rokem +2

    oh. ninja nerd best of the best in the world. thank you very much for tish best lecture👍👍👍😁

  • @Medical_life_with_John
    @Medical_life_with_John Před rokem +1

    Ninja is Don of medicine.

  • @abeermohamed2011
    @abeermohamed2011 Před rokem +2

    I really appreciate your hard work 💕

  • @meerwasil842
    @meerwasil842 Před rokem +1

    Thanku so much my beloved teacher you have helped me a lot....

  • @ankitkumarsingh1998
    @ankitkumarsingh1998 Před rokem +1

    learning just got so much easy!

  • @tigerhillsupa
    @tigerhillsupa Před rokem

    It took so much time to digest! however it is the best lecture for anticoagulation

  • @gib3666
    @gib3666 Před 2 měsíci

    I agree with you 100%! Thank you very much for posting this video. I hope this topic will touch many hearts and help all to practice your suggestions and lessen their hardships and sufferings. Thank you again. ❤

  • @user-dw1dz6bi1b
    @user-dw1dz6bi1b Před 8 měsíci

    SO so so so GOOOD. AMAZINGGGG WORK. MAY GOD BLESS YOU.

  • @drdritero
    @drdritero Před rokem +1

    Great job. Thank you a lot for these videos.

  • @sawantiparang6660
    @sawantiparang6660 Před rokem +1

    As always amazing,,,,keep upload like thus video in all topic sir, thank you

  • @kostakis3
    @kostakis3 Před rokem

    Dr.Najees quality lectures !! Good job

  • @mingukkie4746
    @mingukkie4746 Před 6 měsíci +1

    Once again thank u so much for your such tremendous work 😍❤️

  • @moa4950
    @moa4950 Před rokem +4

    Hi! Could you do a vid on lower limb amputation, or just amputation at some point? Maybe some possible causes, different types, functionalities of each, and recovery or something? Please and thank you :)

  • @LilMISTERX
    @LilMISTERX Před 9 měsíci

    thank u very much , ZACH ! keep it up

  • @salvadorhirth2919
    @salvadorhirth2919 Před rokem +3

    You're the best!

  • @dr.ss-4077
    @dr.ss-4077 Před rokem +3

    Please cover whole pharmacology playlist my exams are near you r my hope ❤❤

  • @nad1282
    @nad1282 Před 7 měsíci

    Thank youuuuu sir i hope i ll get my exam you helped me a LOT !

  • @16parag
    @16parag Před 10 měsíci

    Thanks Prof Zach for the beautiful and simplified lecture as always !!
    I would like to add
    1. platelet transfusion is inefficient to reverse the effect of Ticagrelor, because circulating ticagrelor and its metabolite are likely to inhibit the fresh platelets.
    2. Bentracimab is an antidote to Ticagrelor, it is still under trials though. It binds ticagrelor and its active metabolite with high affinity and specificity.
    3. Apixaban clearance is less dependent on renal function(only 25%) compared to other DOACs and it is approved even in ESRD with reduced doses.

  • @user-ly1jx4mj8r
    @user-ly1jx4mj8r Před rokem +1

    Than you so much for extensive explaination

  • @AAUN
    @AAUN Před rokem +2

    Among the antoplatelet drugs the commonly used drugs are Aspirin , Clopidogrel etc. Anticoagulants include rivaroxaban , abigatran and edoxaban .
    While prescibing these drugs proper education of patient is extremeny important.

  • @EstherZuru
    @EstherZuru Před 4 měsíci

    Your doing a great job Ninja❤ Thanks a lot!!

  • @raithneach
    @raithneach Před rokem +2

    Very helpful. Thank you.

  • @rosemaryrodrigues306
    @rosemaryrodrigues306 Před 7 měsíci

    Thank you for sharing such good information

  • @gabriellukwesa7174
    @gabriellukwesa7174 Před 10 měsíci

    i will always remain a ninja nerd supporter. my number one tutor🤩😇

  • @DrRic
    @DrRic Před rokem +1

    Great summary Zack!

  • @tonylee1835
    @tonylee1835 Před 4 měsíci

    Incredible teacher

  • @horcadanielap.4507
    @horcadanielap.4507 Před 6 měsíci

    Thank you so much!!! youre making my life easier!! thank you thank you!!!

  • @user-nf1to7bp2d
    @user-nf1to7bp2d Před 11 měsíci +1

    Absolutely fabulous content and gripping presentation! If only every teacher could grab people's attention this well!
    Oh, but the ads! I was getting bombarded by 2 long ads every 5 minutes. There are also 1-2 ads to watch every time you jump back or forth to watch a particular section again. The excessive ads really destroy concentration, which is the opposite of what you want to (and do) achieve. They made me so mad, I just wanted to swat them out of the way like flies. After this, l will never, ever, ever order Lieferando!
    Your videos are great! Surely, there must be a less intrusive way to monetize?

  • @gareebameer
    @gareebameer Před 2 měsíci

    Finally completed the video and made notes 😎

  • @achalakp705
    @achalakp705 Před 4 měsíci

    The coolest explanation ever thanks for making me pro...and and wait...I'm not gonna get screwed up from my teacher. ❤

  • @ismail_Jabarkhail
    @ismail_Jabarkhail Před 10 měsíci

    Thank you sir for this amazing lecture ❤

  • @afrozahbasharat8280
    @afrozahbasharat8280 Před 5 měsíci

    Sir your lectures are v informative and good thanks a lot sir for making every topic easy for us.

  • @fas451
    @fas451 Před rokem +1

    He is the best 💯💯💯

  • @segunpeters6201
    @segunpeters6201 Před rokem +1

    Another excellent lecture. Thank you
    For the activation of vitamin k dependent enzymes, I suppose you wanted to say gamma glutamyl carboxylate rather than gamma glutamyl transferase