Antiplatelets, Anticoagulants, and Adverse Effects, Oh My! Antithrombotic Therapy Controversies in Clinical Practice
Saturday, November 11, 2023 from 9:45 AM to 11:15 AM CST at Lone Star Ballroom C1
Available for 1.50 hours of CPE credit
Activity Number: 0217-0000-23-107-L01-P
Activity Type: An Application-Based Activity
Anticoagulants remain one of the top three drug classes responsible for avoidable adverse drug events. Knowledge surrounding these medications, as well as skills for application, are paramount for optimal safe and effective management plans, particularly when applied to special populations and controversial settings. This session will explore several thrombosis-related clinical controversies the pharmacist clinician can relate to. Attendees will learn how to pursue the best course of treatment in these contentious conundrums. Four 15-minute segments will be presented by expert panelists, focused on developing audience skills to deal with clinical controversies in antithrombotic management where there may be limited or flawed data to guide judgment. A 30-minute, case-based discussion will follow the four 15-minute segments where all four panelists will provide diverse perspectives on the application of the information to presented cases to solidify learning and allow for audience interaction. The sessions will cover topics in acute care (Alteplase vs. Tenecteplase for acute ischemic stroke, antiplatelet bridging, liver disease, and obesity) as well as ambulatory care (duration of dual antiplatelet therapy, use of genetic testing, combination anticoagulation and antiplatelet therapy), and special populations (antiphospholipid syndrome, CKD/IHD, transcatheter aortic valve replacement).
Faculty
![Sarah Hanigan Lewis, Pharm.D., BCCP, BCPS Sarah Hanigan Lewis, Pharm.D., BCCP, BCPS](/images/imis/2024296.png) | Moderator: Sarah Hanigan Lewis, Pharm.D., BCCP, BCPS Title: Antiplatelets, Anticoagulants, and Adverse Effects, Oh My! Antithrombotic Therapy Controversies in Clinical Practice Institution: University of Michigan College of Pharmacy City/State: Northville, MI
|
Learning Objectives
1. Differentiate patient characteristics and therapeutic areas that lead to uncertainties in the provision of antithrombotic therapy in clinical practice.
2. Evaluate available literature describing anticoagulation practices in special populations and controversial settings, such as obesity, hepatic disease, renal disease, and antiphospholipid syndrome.
3. Evaluate available literature describing current controversies in antiplatelet practices, such as duration and optimization of dual-antiplatelet therapy practices following intervention and combination therapy with anticoagulants.
4. Implement a process utilizing fibrinolytic therapy for acute ischemic stroke based on available information.
5. Formulate antiplatelet, anticoagulation, or fibrinolytic therapeutic regimens based on patient and disease state characteristics.
6. Design an antithrombotic therapy plan for special populations and/or controversial settings utilizing available literature and expert discussion.
Alteplase vs Tenecteplase for Stroke: Winner Take All?9:45 AM to 10:00 AM ![Karen Berger, Pharm.D., BCPS Karen Berger, Pharm.D., BCPS](/images/imis/2006847.png) | Speaker: Karen Berger, Pharm.D., BCPS Title: Alteplase vs Tenecteplase for Stroke: Winner Take All? Institution: Nova Southeastern University City/State: Boca Raton, FL View Biography |
|
Anticoagulation Controversies in the Setting of Obesity and/or Liver Disease10:00 AM to 10:15 AM ![James C. Coons, Pharm.D., FCCP, FACC, BCCP James C. Coons, Pharm.D., FCCP, FACC, BCCP](/images/imis/2042629.png) | Speaker: James C. Coons, Pharm.D., FCCP, FACC, BCCP Title: Anticoagulation Controversies in the Setting of Obesity and/or Liver Disease Institution: University of Pittsburgh School of Pharmacy City/State: Gibsonia, PA View Biography |
|
Optimization of Antiplatelet Regimens in the Ambulatory Care Setting10:15 AM to 10:30 AM ![Craig J. Beavers, Pharm.D., FCCP, BCCP, BCPS Craig J. Beavers, Pharm.D., FCCP, BCCP, BCPS](/images/imis/1997317.png) | Speaker: Craig J. Beavers, Pharm.D., FCCP, BCCP, BCPS Title: Optimization of Antiplatelet Regimens in the Ambulatory Care Setting Institution: University of Kentucky Healthcare City/State: Paducah, KY View Biography |
|
Navigating Kidney Disease, Hypercoagulable Disorders and Valve Replacement Anticoagulation in the Ambulatory Care Setting10:30 AM to 10:45 AM ![Tiffany Vatterrodt, Pharm.D., BCACP Tiffany Vatterrodt, Pharm.D., BCACP](/images/imis/2064267.png) | Speaker: Tiffany Vatterrodt, Pharm.D., BCACP Title: Navigating Kidney Disease, Hypercoagulable Disorders and Valve Replacement Anticoagulation in the Ambulatory Care Setting Institution: Community Health Network City/State: Fishers, IN View Biography |
|
Case-Based Panelist Q&A and Discussion10:45 AM to 11:15 AM |