What special considerations do you take into account when treating alcoholics?
When treating individuals with a history of chronic alcohol abuse, what special considerations do you take into account? Ex. risk of excess bleeding due to lack of vitamin K absorption. (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2017 Category: Universities & Medical Training Authors: aban Source Type: forums
FFP vs (iv Vit K+prothombin complex concentrate)
was doing a Mksap question, where an elderly patient comes into the ER with a SDH and mass effect, very symptomatic, Afib+coumadin with an INR=12. Which of the following is the most appropriate treatment?
my answer was FFP (and ~79% percent agreed).
But the correct answer was iv Vit K+prothombin complex concentrate.
Really? Isn't this a dire situation that requires immediate correction, wouldn't FFP provide that? (I understand that patient would likely need long term Vit K, you could...
FFP vs (iv Vit K+prothombin complex concentrate) (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2017 Category: Universities & Medical Training Authors: DrMetal Source Type: forums
What is the future of "Triple Therapy" after coronary stenting?
Identifying the optimal regimen for antiplatelet therapy in patients requiring long-term anticoagulation following coronary stenting is an area that has traditionally been understudied. Although all major guidelines recommend (limited) triple therapy in this situation, these recommendations are either result of expert consensus or are largely based on observational data.
The WOEST trial was an open-labelled randomised trial and compared dual therapy (a combination of clopidogrel and vitamin K antagonist) with triple therapy (Aspirin, clopidogrel and vitamin K antagonist) in patients undergoing coronary stent...
Source: Doc2Doc BMJ Cardiology - November 17, 2014 Category: Cardiology Authors: Heart Matters Source Type: forums
