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Warfarin therapy

Procedurer Warfarin has a narrow therapeutic index, a half life of several days and more than a hundred clinically relevant interactions. What determines whether the…

🟠 ATRIA (Anticoagulation and Risk Factors in Atrial Fibrillation) Bleeding Risk Score

…to estimate the risk of major bleeding in patients with atrial fibrillation (AF) undergoing anticoagulation therapy, particularly with warfarin. Developed from the ATRIA study cohort…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…Reversal in major bleeding Drug Reversal : : Warfarin Prothrombin complex concentrate (dose by INR and weight) plus vitamin K 10 mg IV Dabigatran Idarucizumab (Praxbind) Apixaban…

Drugs in the emergency setting

…a fuller account of two of the commonest acute drug problems, see Warfarin therapy and Opioid therapy in severe pain. Cardiac arrest Drug Adult Child : : …

🟠 Calculate CHADS-VASc Score and evaluate indication for anticoagulation

…Recommendation Evidence 0 No treatment Low No treatment High 1 Oral anticoagulation (warfarin or NOAK 1 is considered for male patients with a score of…

Cardiac arrest in intoxication (poisoning)

…Decontamination Disrobe the patient of any attire possibly contaminated with the toxicant. Irrigate skin and eyes using saline solution (NaCl) if suspected of toxin exposure…

Atrial fibrillation: quick reference for emergency management

…without delay, in any of the following: A systolic blood pressure < 90 mmHg caused by the arrhythmia. Ongoing myocardial ischaemia with chest pain and…

Electrical cardioversion

…energy and is difficult to terminate pharmacologically. Ectopic atrial tachycardia or SVT that has not been terminated by vagal manoeuvres, adenosine or rate controlling drugs…

Pulmonary embolism: quick reference for risk stratification and treatment

…in pregnancy and an alternative in cancer associated thrombosis. Warfarin in antiphospholipid syndrome and in marked renal failure. Duration of treatment: at least 3 months…

Statin Intolerance and Statin-Associated Muscle Symptoms

…channel blockers, colchicine, ciclosporin, warfarin and grapefruit juice. Gemfibrozil should not be combined with statins because it alters statin absorption, hepatic uptake and disposition. Clinical…

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