…is high or the time of onset uncertain, choose the more cautious course. Anticoagulation Assess the risk with CHA₂DS₂ VA (the sex category has been…
…skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes — the…
…a potential interaction, and that there is a ready made plan for what happens when the INR runs away or the patient bleeds. In Sweden…
…the documentation is insufficient; check more frequently. Warfarin is often preferable <15 or dialysis DOACs are not recommended. Warfarin after individual assessment Rule of thumb…
…risk of stroke and other thromboembolic events. Subclinical cerebral injury may contribute to vascular dementia, and thromboembolism may affect organs other than the brain. Patients…
…the extent of ischemia. After revascularization procedures, stress testing is utilized to assess whether there is any residual ischemia or angina pectoris. Patients may undergo…
…coagulopathy, recent oesophageal or gastric surgery Gastric lavage Seizures or an unstable patient — stabilise first The induction of vomiting has no place in the modern…
…and caution Active fever prevention has in practice no absolute contraindications. With active cooling to hypothermia , caution applies in: Ongoing uncontrolled bleeding or marked coagulopathy…
…Document what has been changed, who is following it up and when. Sources American Diabetes Association, Standards of Care in Diabetes: diabetes care in the…
…speech, work of breathing, level of consciousness and air entry repeatedly. 9. Measure PEF or FEV1 if the patient can manage it without delaying treatment…
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