Reducing the effect of warfarin will lower the INR and stop the bleeding episodes. Henceforth, cimetidine to be discontinue from Eliot’s medication list and an alternative antacid such as Pepcid will be considered at this time (Anticoagulation EUROPE (UK), 2015). Digoxin- Pseudoephedrine interaction: Using digoxin together with pseudoephedrine can cause an irregular heart rhythm. Pseudoephedrine is a sympathomimetic agent, which can activate β-receptors of the heart leading to increases in heart rate and α-receptors in vascular smooth muscle leading to vasoconstriction and increases in blood pressure (Sager et al., 2013).…
Saint Anthony College of Nursing-Rockford, IL N401 Nursing Care of the Adult with Complex Health Deviations Clinical Journal Outline All sections on the journal must be written in complete sentences with appropriate punctuation. Goal and Evaluation (this should be the same goal that you wrote on your prep sheet) Goal Day #1 Evaluate the role of a critical care nurse caring for a patient with acute respiratory distress syndrome.…
Some limitations of warfarin use include a narrow therapeutic index, daily monitoring…
Eliquis vs. Warfarin Jennifer Lockie Joliet Junior College According to the American Heart Association, there are, at minimum, 2.7 million Americans currently diagnosed with atrial fibrillation (a-fib). This condition accounts for 15-20% of strokes. As a result, patients are prescribed an anticoagulation therapy to decrease this risk (What is atrial fibrillation, 2016). While warfarin has been the medication of choice for decades, new anticoagulation medications have been approved in recent years that may be more effective with less risk.…
There is no need for INR monitoring. Combination Anticoagulation and Antiplatelet Therapy There is no evidence to support combination use has any advantage reducing risk of stroke or MI when compared with anticoagulant therapy alone. Increased risk of bleeding. Warfarin, dabigatran, and apixaban are all indicated for the prevention of recurrent stroke in patients with nonvalvular AFIB, paroxysmal or permanent.…
Khorn is a 69-year-old male diagnosed with hemochromatosis (E83.11), along with a history of cirrhosis, alcohol abuse, pain, and iron overload syndrome. Khorn initial ferritin lever was over 4400 and started on a monthly Phlebotomy schedule, however, without an adequate response started on chelation therapy. His ferritin level improved however increased again; still his ferritin level is not ideal or within normal range. Khorn’s recent lab work reveals his ferritin level at 2,795, Hgb 9.9, Hct 34.6, Platelet 75, MCV 70, MCH 20, MCHC 28.6, and RDW 20.7. Khorn will experience a clinical benefit from Exjade and this medication is crucial to assist in regulation of his Ferritin levels.…
It is an anitclotting medication, it keeps the blood thin and free of deadly blood clots so that it will flow smoothly through the circulatory system. In order for the blood to clot after a blood vessel is damaged a process needs to happen. The serine protease and the clotting factors II,VII,IX, and X are realeased from the liver and flow in the bloodstream throughout the body in an inactive state. When the injury occurs, The factors become activated by vitamine K, as the clotting happens vitamin K becomes inactive recyles awaiting future use.…
ANSWER 1 IDDM: Type 1 diabetes is a chronic disease, which starts to develop in childhood it was known as juvenile onset as well. It is a progressive destruction of autoimmune pancreatic beta cells depending upon the individuals. Genetically individuals develop islets of autoantibodies from months to years before diagnosing type 1 diabetes. Glucose level is increased as the body starts to produce low level of insulin and glucose is eliminated in the form of urine. Weight loss, frequent urination, excessive hunger and thirst are the common symptoms of type 1 diabetes.…
Joel Lee Mrs. McGee LA Period 1 2/12/16 Thrombosis What is It? Thrombosis is a clotting of blood which can break loose and can block blood flow from your lungs (PE) this effect is called VTE ( venous thromboembolism) which is a combination of PE and DVT (deep vein thrombosis.) What Does it Do?…
The two bind together inside blood vessel walls, creating a platelet plug, or a blood clot. When von Willebrand factor is scarce, platelets cannot adhere to each other properly, meaning they are unable to attach themselves to blood vessel walls. These patients typically have less than fifty percent of the normal von Willebrand factor in their blood (National Hemophilia). Without the presence of this critical component, uncontrollable bleeding can occur, along with other health…
What is Lipitor? Lipitor is a brand name for drug atorvastatin, which is a newer selective and competitive inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme (HMG-CoA) reductase that belongs to a group of drugs known as statins. Atorvastatin was synthesized in 1985 and its development was mostly based on molecular comparisons of fungal metabolites and other synthetic inhibitors. Atorvastatin is approved for the reduction of elevated total cholesterol, LDL cholesterol, apo B and triglyceride levels, but its usage also leads to an increase of HDL cholesterol in individuals with primary hypercholesterolemia and mixed dyslipidemia.…
Some studies which were done on dialysis patients used the same dose in normal renal patients with no additional adverse effects and others used lower doses.(40) Argatroban is highly protein bound so it is not cleared significantly during hemodialysis. The American College of Chest Physicians guidelines for treatment and prevention of HIT 2012 suggested the use of Argatroban over other non-heparin anticoagulants in HD patients with HITTs.(38) In a research that compared 3 doses of Argatroban in HD patients, the preferred regimen was a 250-µg/kg bolus followed by an infusion of 2 µg/kg/minute at the start of dialysis, with the option of stopping the infusion as early as 1 hour before the end of hemodialysis.(41) Danaparoid…
9.3. Lauryl tryptose broth (MERCK) Tryptose ..................................................................................................................... 20.0 g Lactose......................................................................................................................... 5.0 g Dipotassium hydrogen phosphate, K2HPO4 ..............................................................2.75 g Potassium dihydrogen phosphate, KH2PO4...............................................................…
1. Discuss the pathophysiology related to CVA due to thrombus vs. embolus. Describe the stages in the development of an atheroma. There are a few different pathophysiologies that can lead to a stroke.…
Thrombosis is the development of a blood clot within a blood vessel. The blood clots will usually be located in the lower extremities of the body, such as the legs. There are two types of this disease: venous thrombosis and arterial thrombosis. The two types of venous thrombosis, include deep vein thrombosis (DVT) and pulmonary embolism (PE). Deep vein thrombosis is characterized as blood clots in the large veins in the body.…