Anticoagulants agents are medicines used to reduce clotting in an artery, a vein, or the heart. These clots can block the blood flow to your heart muscle and could cause the patient to have a heart attack. This blockage can also block blood flow to your brain, causing a patient to have a stroke. There are several types of anticoagulants like warfarin and heparin. Certain labs such as INR and PT have to be done before warfarin is given and the PTT must be checked also before giving heparin. It’s important to know this because if a patient is already bleeding, you should not give anticoagulants because the patient will further bleed out. In addition to this statement, patients with a hemorrhagic stroke; anticoagulants and antiplatelets are contraindicated. …show more content…
Any type of invasive surgeries or outpatient procedures, doctors must be informed to ensure that the patient doesn’t bleed any more than they already have. Patients that are currently are on anticoagulants are required by law to always keep a medical ID card on them for emergency purposes. Their medical ID card should include the following: the name of the drug that they are taking, their name/phone number/address, and also the name/address/phone number of their current doctor. Aspirin have clinically been proven to reduce the risk of strokes, heart attack, and also transient ischemic attack. Aspirins acts as a blood thinner that help reduce the blood from clotting and causing such things as strokes. Doctors are currently informing patients, especially older adults to take aspirin 81 mg a …show more content…
Patients that are taking anticoagulant should report the following to their doctor: bleeding gums, blisters/bruises, and a consistent headache that doesn’t improve with analgesics or NSAIDs. This signs and symptoms can indicate things such as: the patient might be receiving too much anticoagulants or patient might be taking aspirins along with anticoagulants that the doctor probably didn’t suggest. However, if the patient is receiving too much anticoagulant, it always important that antidotes for heparin like Protamine Sulfate and warfarin such as: Vitamin K be readily available. Safety for the patient is priority. Patients who are pregnant or might be breastfeeding are instructed not to take anticoagulants also because it increases their chances of bleeding. If the patient may have any other conditions such as: heart failure, congested heart failure, kidney failure, and liver dysfunction; it should be reported to the doctor because the doctor might have to prescribe something that will be more effective in ensure that they patient gets the right medication and
EMTALA stands for the Emergency Medical Treatment and Active Labor Act. Congress passed the legislation in 1986, making it a federal law. EMTALA states that anyone showing up into the Emergency Department of a Medicare payment receiving hospital, seeking medical attention, must be seen regardless of the individual’s ability to pay. Although, the law is directed towards Medicare accepting hospitals it addresses any and all people wanting medical attention. Relatively all hospitals in the United States participate in and receive monies from Medicare. That is relatively all hospitals in the U.S. are governed by the EMTALA legislation. The wording of “anyone” coming into an Emergency Department is EMTALA’s attempt to cover every person in the U.S. experiencing a medical crisis.
27-Ussia GP, Scarabelli M, Mulè M, et al. Dual antiplatelet therapy versus aspirin alone in patients undergoing transcatheter aortic valve implantation.Am J Cardiol 2011;108:1772–6.
The range of medications from anti-inflammatory to opioids is extreme, and have different effects on the human body. Medical professionals have to make the decision whether to give a patient a lower grade pain management drug or a higher grade drug, and they are the ones who have to determine how much pain the patient truly is in when most of a patient 's pain in unseen to the physical eye. “Pain as a presenting complaint accounts for up to 70% of emergency department visits, making it the most common reason to seek health care. Often, it is the only reason patients seek care,” and with this knowledge health care professional need to treat each patient equally in the sense that they are the emergency room or a physician 's office for a reason, and that reason is to relieve the pain they are in (American College of Emergency Physicians Online). The article from the American College of Emergency Physicians continues on to say that, “it is the duty of health care providers to relieve pain and suffering. Therefore, all physicians must overcome their personal barriers to proper analgesic administration,” this is in regards to medical professional who are bias toward specific patients, such as “frequent flyers” or even patients of certain class standing; no matter what their patient may look like or be like they must be treated equally and
(14) Connolly SJ, Ezekowitz MD, Yusuf S, Eikelboom J, Oldgren J, Parekh A, Pogue J, Reilly PA, Themeles E, Varrone J, Wang S, Alings M, Xavier D, Zhu J, Diaz R, Lewis BS, Darius H, Diener HC, Joyner CD.. (2009). Dabigatran versus warfarin in patients with atrial fibrillation.. New England Journal Of Medicine. 361 (12), 1139-51.
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COX-1: Cox-1 is responsible to protect the lining of the stomach and to regulate blood platelets. It also decreases fever and regulates blood platelets promoting blood clotting. NSAIDS and aspirin can be used for inhibition of Cox-1 for the desirable effect of decreasing platelets aggregation, but it can also decrease the protection of stomach lining. As a result, it can cause bleeding and
Recently stroke in young people who had been considered to have a lower risk of stroke has been reported and the number is increasing. Atrial fibrillation (AF) is known as a major risk of stroke and anticoagulation therapy is recommended. Particularly non-valvular AF (NVAF) patients can be treated with direct oral anticoagulants (DOACs) recently approved. It is reported that clinical introduction of DOACs were advancing, and factors affected on DOACs prescription were studied using everyday practice data in other countries. Although several registry are beginning to be conducted, there is no study focused on anticoagulant therapy in everyday clinical practice which consisted with physician office in Japan. Furthermore, there
Because I provide the surgeon with medications, hemostatic agents and irrigation solutions it is crucial to know the proper usage of each, along with the side effects, patient's allergies, and contradictions of certain medications and their reactive
His vital signs and blood work are all within normal range. Additional blood work test include, amylase and lipase measurements to rule out pancreatitis, erythrocyte sedimentation rate (ESR) to detect inflammatory activity in the body, abdominal x-ray to look for any masses and endoscopy to inspect the esophagus for any lesions. A CT scan or an MRI may be done to identify the cause of epigastric pain as well depending on the other symptoms he may be experiencing (Kerkar, 2016). There are other variables to consider while evaluating TJ case. He has a previous history of bleeding ulcer that was treated with multiple prescriptions although he did not complete his therapy course. TJ is at a risk of peptic ulceration due to usage of over-the-counter (OTC) NSAIDs that he takes for his osteoarthritis pain. NSAIDs are linked with gastric mucosal damage and ulcer formation which consequently result to gastrointestinal (GI) bleeding. NSAIDs should be
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
Landfills are being overrun with more than 15 million tons of discarded plastic a year. What if I told you there was a better way? Currently, many of our plastics such as bottles, packaging, and furniture are petroleum-based plastics. And while we do our best to recycle, this plastic is not completely biodegradable. I think there is a better choice, and that choice being polyhydroxybutyrate also known as PHB. “PHB is a product of bacteria storing carbon and energy in molecules of glycogen, which is polymer of glucose molecules or lipid.” (p.72) With little chemical alteration, PHB can be the “green” plastic that replaces petroleum-based plastics.
... you should take baby aspirin (81 mg). The earlier a patient takes preventative measures the less a patient has to worry about taking other medication such Warfarin which have many adverse side effects such as excessive bleeding. Patients need to continuously check legs for any signs and symptoms of DVT.
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
·Aspirin (salicylic acid acetate) is an anti-inflammatory (decreases swelling and inflammation), anti-pyretic (fever reducing), and anti-platelet (decreases platelets in the body to thin blood). Many heart treatment patients take an aspirin a day to prevent blood clotting. However, if aspirin is taken in large quantities over long periods of time, it may cause gastric ulcers or other internal damage. The molecular formula of aspirin is C9H8O4. Some examples of Aspirin are Bayer, Ecotrin, and Aspergum.
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...