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Summary of the Day

Pediatric Direct Laryngoscopy and Tracheal Intubation

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Question of the Day

Which of the following BEST explains the anti-platelet effect of clopidogrel (Plavix) and ticlopidine (Ticlid)?

Question of the Day
Which of the following BEST explains the anti-platelet effect of clopidogrel (Plavix) and ticlopidine (Ticlid)?
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Correct Answer

Explanation

Clopidogrel (Plavix) and ticlopidine (Ticlid) inhibit adenosine diphosphate (ADP) receptors, specifically P2Y12 receptors. Aspirin irreversibly inhibits blocks cyclooxygenase leading to a reduction in the formation of thromboxane A2 in platelets, which produces an inhibitory effect on platelet aggregation. Abciximab (ReoPro), eptifibatide (Integrilin), and tirofiban (Aggrastat) inhibit Glycoprotein IIB/IIIA receptors. All the Glycoprotein IIB/IIIA receptor blockers are only available intravenously. Dipyridamole (Persantine) is a phosphodiesterase inhibitor; however, it also blocks adenosine reuptake.

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