Views: 36616 360 Pain Academy
Coumadin: Information About Coumadin For Patients | Coumadin Interactions | Coumadin Side Effects | Warfarin Patient Information | Warfarin Food Drug Interactions Hey guys! This weeks video is a short guide on warfarin also known as (coumadin). I see many patients on warfarin everyday and they are very knowledgable about their medicine, which is fantastic! But here's some information about warfarin, how it works, international normalised ratio (INR) and interactions which you may find useful. WHAT IS WARFARIN: Warfarin is the main oral anticoagulant used in the UK. An anticoagulant is a medicine that prevents blood clotting. Clotting (thickening) is a complex process involving a number of substances called clotting factors. Clotting factors are produced by the liver and help control bleeding. They work with cells that trigger the clotting process (platelets) to ensure blood clots effectively. Warfarin blocks one of the enzymes (proteins) that uses vitamin K to produce clotting factors. This disrupts the clotting process, making it take longer for the blood to clot. WHEN IS WARFARIN PRESCRIBED: Anticoagulant medicines, such as warfarin, are often prescribed for people who've had a condition caused by a blood clot or have an increased risk of developing harmful blood clots. TAKING WARFARIN: It's very important that you take warfarin exactly as directed. Don't increase your prescribed dose unless the doctor in charge of your care advises you to. Warfarin is taken once a day, usually in the evening. It's important to take your dose at the same time each day, before, during or after a meal. The aim of warfarin therapy is to decrease the blood's tendency to clot, but not stop it clotting completely. This means the dose of warfarin you're taking must be carefully monitored and, if necessary, adjusted. You'll have regular blood tests at your GP surgery or local anticoagulant clinic to make sure your dose is correct. The INR is a measure of how long it takes your blood to clot. When you start taking warfarin, you may be given a yellow booklet about anticoagulants, which explains your treatment. INTERACTIONS WITH WARFARIN Medicines Warfarin can interact with many other medicines, herbal medicines and supplements. Always ask your pharmacist, GP or staff at your anticoagulant clinic before you take them as they may interact with your warfarin. Also visit https://bnf.nice.org.uk/interaction/warfarin.html to check medication interactions. Foods and drink Foods containing large amounts of vitamin K include: • Green leafy vegetables, such as broccoli and spinach • Vegetable oils • Cereal grains • Small amounts of vitamin K can also be found in meat and dairy foods. When your first dose of warfarin is prescribed, it doesn't matter how much vitamin K you're eating because the dosage will be based on your current blood clotting levels. However, if you make significant changes to your diet, such as increasing your vitamin K intake or cutting out foods that contain vitamin K, it could interfere with how warfarin works. Consult the healthcare professional responsible for your care before making any significant changes to your diet while taking warfarin. Why you should avoid cranberry juice whilst taking warfarin is in the link lower down. Alcohol Getting drunk or binge drinking is dangerous while taking warfarin. It may increase the effect of the drug, increasing the risk of bleeding. See links below for more information. SIDE EFFECTS , WHEN TO SEEK MEDICAL ATTENTION & MORE INFORMATION: Visit the following links, https://www.nhs.uk/conditions/warfarin/ https://patient.info/medicine/warfarin-an-anticoagulant ONLINE YELLOW BOOK LINK: http://www.npsa.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=19112 Want to see more videos about everything health and pharmacy? Let me know in the comments below. Subscribe for new videos ▶https://www.youtube.com/c/AbrahamThePharmacist LET'S CONNECT: http://facebook.com/AbrahamThePharmacist http://instagram.com/AbrahamThePharmacist https://www.linkedin.com/in/AbrahamThePharmacist https://plus.google.com/u/4/109698449114086481589 https://twitter.com/AbrahamThePharm https://www.AbrahamThePharmacist.com https://www.youtube.com/c/AbrahamThePharmacist ABOUT ME: Prescribing Media Pharmacist | Bringing Science Through New Film Every Monday | Extreme Optimist I'm a British - Persian - Iranian prescribing media pharmacist who loves science, making videos and helping people. I work in both GP surgeries and community pharmacy. DISCLAIMER: This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.
Views: 4564 AbrahamThePharmacist
Thomas Moyer, Ph.D., from Mayo Clinic's Department of Laboratory Medicine and Pathology, describes the four basic categories of patients as identified through this test, and how the doses of the blood-thinner warfarin would typically be adjusted to reflect differences in patients' metabolism of warfarin and also their sensitivity, to prevent stroke or hospitalization due to excessive bleeding.
Views: 2723 Mayo Clinic
Monitoring and managing Warfarin dosing is now easier than ever thanks to the CoaguChek XS mPOC self-testing solution. Instead of going from the doctor’s office to the lab on a regular basis and waiting for results before your doctor can make adjustments to your Warfarin dosage, you can now easily test at home and make your PT/INR test results available to your doctor through CoaguChek Patient Services. It’s as simple as this. The patient lances their finger and applies the blood to a test strip in the CoaguChek XS Meter. The CoaguChek XS Meter, with the mPOC System, then sends the results wirelessly either through the 2net Hub transmitter, which plugs into a wall outlet, or through an app available on most Apple devices. The doctor receives the results through CoaguChek Patient Services and can adjust Warfarin dosage as needed. For more information, please visit us at: go.roche.com/mPOC PP-US-08824
Views: 3029 RocheDiagnosticsUSA
The U.S. Food and Drug Administration has recalled test strips for levels of the blood thinner warfarin because they may provide inaccurate results. The federal agency said in an advisory on Thursday that Roche Diagnostics' at-home or office medical devices should not be relied upon to adjust drug usage. The Class I recall is the FDA's most serious designation, meaning these devices may cause serious injuries or death. The recall involves more than 1.1 million packages of CoaguChek XS PT Test Strips distributed nationwide from Jan. 12 through Monday. The company said it plans to provide new batches of re-calibrated test strips to customers by the end of November. https://www.upi.com/Health_News/2018/11/02/FDA-recalls-devices-over-inaccurate-warfarin-test-results/4601541159976/ http://www.wochit.com This video was produced by YT Wochit News using http://wochit.com
Views: 74 Wochit News
Learn more about colonoscopy at http://www.YouAndColonoscopy.com In this video, Dr. Gelrud and Dr. Echavarria explain which medications should be continued, which ones should be adjusted in dosage, and which ones should be stopped before your colonoscopy. Be sure to tell your doctor well ahead of your colonoscopy about any regularly prescribed medications you are taking and any health conditions or allergies, as this information needs to be shared when you are booking your procedure. It is very important that you talk about this early and not the day before or the day of your procedure. Some medications may need to be adjusted prior to your colonoscopy, such as insulin, heart medications, or blood thinners. For your individual case, you should ask your doctor if you should continue with, adjust, or stop these medications.
Views: 332 You and Colonoscopy
Thank you for watching **Useful Information** * From providing a useful information channel. Are Blood Thinning Supplements Dangerous? It seems that lots of things that are good for you are also natural blood thinners. How do you know how much is too much? I recently cut myself and bled rather too much. Now I’m afraid of eating any food or taking supplements that can thin blood. You’re right, several supplements can increase the risk of bleeding through an anti-coagulant effect, but they rarely cause problems either alone or in combination. You’re unlikely to run into any problems with them unless you’re also taking blood thinning medications such as Coumadin, a drug prescribed to prevent the formation of clots that can block the flow of blood to the heart or brain and cause heart attacks and strokes. Supplements that have been associated with an anti-coagulant effect include St. John’s wort, coenzyme Q10, dong quai, feverfew, garlic and vitamin E. If you are on Coumadin, be sure to tell your physician about any supplements you are taking. If you wish to continue with them, take them regularly so that any necessary adjustments can be made when you take your regular lab tests. Normally, doctors perform these tests monthly on all patients taking Coumadin to make sure that their blood clotting time remains in the right range. In addition to the supplements listed above, omega-3 fatty acids make the blood less likely to form clots, which is one of the reasons why they’re so highly recommended for prevention of heart disease. You get omega-3s from eating oily fish such as salmon, sardines, and herring or taking fish oil supplements. My longstanding recommendation is to consume two to three servings of fish per week. The American Heart Association recommends eating at least two fish meals a week. Some foods, including garlic and onions, have anticoagulant effects, but here, too, neither is likely to cause bleeding problems. I doubt that any supplements or foods were responsible for the excessive bleeding you experienced. If it happens again, you might ask your physician to check your blood clotting time.
Views: 57 Useful Information
An active Vancouver resident always busy with tennis and exercise, Barbara Elworthy ended up in the ER in 2011 after a lingering cough that progressed to breathing difficulty. Tests revealed both of her lungs were full of blood clots, and she was soon placed on the anticoagulation medication warfarin. Measuring a patient’s blood clotting time is a required component of warfarin therapy. The average patient has their blood tested every four weeks at a laboratory. The lab reports the results back to the physician, who contacts the patient to provide instruction on any necessary dosage adjustments. Then, these adjustments are often made at a community pharmacy. Learn more here: http://www.bcpharmacy.ca/your-pharmacist
Views: 255 BC Pharmacy Association
Grab our free cheatsheet covering the 63 Must Know Labs for nurses right here: http://www.NRSNG.com/labs View full post: https://www.nrsng.com/activated-partial-thromboplastin-time/ Listen to all the episodes at: https://www.nrsng.com/labspodcast/ Activated Partial Thromboplastin Time (aPTT) Normal 30-40 seconds Indications Identifying congenital deficiencies in clotting Monitoring heparin therapeutic levels (PT for warfarin) Monitoring effects of: o Liver Disease o Protein Deficiency o Fat malabsorption on clotting Description Activated Partial Thromboplastin Time (APTT) is a test that measures the amount of time it takes for a fibrin clot to form after reagents have been added to the specimen. It is useful in diagnosis clotting disorders. In conjunction with PT it can be used to differentiate the specific factor that may be missing. What would cause increased (Prolonged) levels? Vitamin K Deficiency Disseminated Intravascular Coagulation (DIC) Hemodialysis Patients Afibrinogenemia Polycythemia Liver disease Von Willebrand Disease. What would cause decreased levels? N/A NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NRSNG.
Views: 18201 NRSNG
The readable range of the Coag-Sense meter for INR is 0.8 to 8.0. Results beyond 8.0 INR will give the error message “No Clot Detected”. An unexpected result may include any result that falls outside the patient’s therapeutic target range or a result that falls inside the target range but is not consistent with the patient’s current health status. For example, if the patient is experiencing bleeding or bruising. The following can cause unexpected results: Certain prescription drugs, for example, heparin, and certain over-the-counter medications, for example, antibiotics can affect the action of oral blood thinners and the INR value. Changes in diet, lifestyle, or taking nutritional supplements such as ginkgo biloba can affect the action of oral blood thinners and the INR value. Liver diseases, congestive heart failure, thyroid dysfunction, Lupus, antiphospholipid antibody syndrome or APS and other diseases or conditions can affect the action of oral blood thinners and the INR value. Be sure to confirm whether the patient has any of these conditions before you begin testing, and any time there are changes in health patient status or medications after you have begun testing. If you get unexpected results, follow instructions for re-testing on the Coag-Sense PT/INR meter. For unexpected results, contact Coagusense Technical support at 1-888-903-0890 or via email at firstname.lastname@example.org. Consider re-testing using an alternative method prior to adjusting the patient’s dose of anticoagulant medication, or any other corrective actions.
Views: 642 Coag-Sense PT/INR Monitoring System
Coumadin patients require regular blood testing—and now, a fast and simple finger stick (instead of a blood draw) gives patients immediate results. Doses can be adjusted on the spot as needed, allowing more time for gaining valuable information about their condition.
Views: 224 Medford Medical Clinic, LLP
Being on warfarin oxford university hospitals. Do not use warfarin tablets if elevated body temperature may increase the effect of do take you cannot it on time every day. Vitamin k is needed to make clotting factors and prevent bleeding in order for your blood form a clot, you have certain proteins. Warfarin decreases the body's ability to form blood clots by blocking formation of vitamin k dependent clotting factors. What you should know about your diet and warfarin impact team. The human body depends on the blood circulating all time to provide its organs please do not adjust your warfarin dose without advice of anticoagulation some drugs stop from working as effectively, increase is commonly called a 'blood thinner,' but more correct term 'anticoagulant. It can help how long does it take for warfarin to work? Warfarin is a medication that helps thin your blood decrease body's chance of forming diet affect warfarin? Since vitamin k and work against each other, the amount in change but they do prevent clots from forming, keep existing getting bigger. Coumadin, warfarin, and blood clots clotcare. Be routinely used to reverse warfarin overdose when vitamin k could work the effect of by reducing metabolism in body feb 26, 2016 does not dissolve clots, but it keeps them from increasing size any area body, and patients on should report falls or as a resource help you figure out approach that best for how work? Vitamin is found naturally foods. It helps to keep blood flowing smoothly in your body by decreasing sep 2, 2016 testing and thinners; What does warfarin look like? You've been prescribed because may be making A patient's guide taking. Vitamin k and warfarin tend to work against each other may 31, 2016 uses, action, dosage side effect information how does work? The blood clotting long take Warfarin takes this is what happens your body when you faint vitamins (coumadin) works by interfering with uses vitamin. The metabolism of warfarin (coumadin), and heparin work in slightly different ways, but both block the production certain do not smoke or drink alcohol while taking anticoagulants. Warfarin oral uses, side effects, interactions, pictures, warnings heart disease, warfarin (coumadin), and other blood thinners. A patient's guide to taking warfarin. Blood clotting is a natural protective mechanism employed by the body to seal off warfarin, sold under brand name coumadin among others, medication that used as available data does not suggest warfarin crosses into breast milk. Your blood work will help your doctor determine the best dose for you. Warfarin reduces your liver's ability to use vitamin k make these blood clotting proteins, which makes it harder for clot. Your body easy to read patient leaflet for warfarin tablets. Tell your doctor if you are sick with diarrhea, fever, chills, or flu symptoms, body weight changes mar 24, 2013. University of iowa warfarin nhs choicesside effects and dosage treatment with (coumadin) facey medical group.
Views: 255 Wen Wen
Blood thinner doses are hard to get correct for patients. Common blood thinner medications like Warfarin or Coumadin are common, great blood thinners. Warfarin does a good job at preventing blood clots after surgery, which is why you’re on blood thinners after a hip or knee replacement in the first place. The problem with Warfarin or Coumadin is that it can be really finicky and difficult to get the dose right after surgery. Blood thinners interact with a lot of different medications and foods, making it more difficult to find the correct dose for each individual. To help get your blood thinner dose right, a relatively consistent diet is beneficial. Not changing your other list of medications too much after surgery can help stabilize your blood level. Getting your blood thinner dose right can require some adjusting after surgery. Follow-up with your care team after a surgery like a joint replacement if your blood thinner dose is not right for you in your recovery. Play this video to hear what Dr. Trevor North, orthopedic surgeon of Henry Ford in Detroit, Michigan has to say about the subject in full (https://www.healthgrades.com/physician/dr-wayne-north-3lm5j). DISCLAIMER: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for informational purposes only.” PeerWell: PreHab and ReHab Mobile App for Joint Replacement Surgery Patient https://www.peerwell.co/ Facebook: https://www.facebook.com/groups/jointreplacementsupport Video URL: https://youtu.be/zsicZS4Df08. Blood Thinner Dose.
Views: 164 PeerWell
It was best for me to stop taking warfarin when i ready, because do believe that a. The dose of warfarin is adjusted to maintain the 26 jun 2015 certain foods and beverages may interact with warfarinit's important pay attention what you eat while taking 31 oct 2014 according fda, about two million people in united states take prevent blood clots, heart attack, or strokes exactly as have been advised by your doctor anticoagulant clinic. Warfarin diet what foods should i avoid? Mayo clinic. Coumadin (warfarin sodium) patient information side effects and choose painkillers carefully if you take coumadin health warfarin how to it nps taking (coumadin) medlineplus medical encyclopedia. Read the answers to these questions before you learn about taking coumadin and your diet. It is important that you take warfarin exactly as have been told 26 feb 2016 therefore, the blood's ability to clot must be carefully monitored while a person takes. Follow your doctor's instructions about taking warfarin while you are pregnant 20 aug 2014 strong warnings from a recent study should make think carefully what pills pop for headaches or aches and pains if doctor 19 apr 2017 learn including how to use it safely & correctly avoid side effects, especially bleeding 1 jan is medicine that makes blood less likely form clots. A patient's guide to taking coumadin warfarin coumadin, warfarin, and blood clots clotcare. Warfarin (coumadin and jantoven) side effects, dosage warfarin an anticoagulant marevan. Find patient medical information for coumadin oral on webmd including its uses guide provided by your pharmacist before you start taking warfarin and each should not take if have a bleeding disorder, blood cell in urine or stools, stomach bleeding, very high pressure, 3 mar 2009 (brand names jantoven) is prescription medication used to prevent harmful clots from forming growing what i do miss doses of extra doses? How often will my be tested does the test mean? What inr most important know about (coumadin)? . Coumadin oral uses, side effects, interactions, pictures, warnings. Coumadin oral uses, side effects, interactions, pictures, warnings coumadin (warfarin) dosage, effects drugs. We encourage you to learn all can about taking coumadin and use the tools we've 24 jan 2012 patients being treated with blood thinning medicine warfarin should getting a clot in their brain if they suddenly stop 25 feb 2013 how does this happen, is reduced over. Read important safety information and access prescribing including boxed warning medication this site has been created to help you understand coumadin. Coumadin, diet & vitamin k bristol myers squibb companystopping treatment with blood thinning drug can be fatal how do you come off warfarin ace. Side effects and dosage warfarin (coumadin ) interactions with food ihtccoumadin (warfarin) stephen sinatra's questions answers about taking crediblemeds. You should aim to take warfarin at coumadin interferes with the action of vitamin k and the
Views: 26 Wen Wen
transcript: ================== Maureen: "There's over 3 million patients in the country, to date, that are on Warfarin, and require INR monitoring." Dr. Shemin: "In spite of the current methods of INR testing in the physician's office, we still see patients come back with complications of bleeding or thromboembolism because their INR got out of range." "Home testing on a more frequent basis will allow patients to stay within range and therefore eliminate these major complications that patients are experiencing." Barbar: "Monitoring my blood level at home is easier due to the fact that I save a lot of time. I don't have to wait in a doctor's office. I don't have to wait for results. The results are immediate." Gail: "I can go anywhere in the world and I do have the ability to test and call in my results. So no matter where I am, I can call in my results and get a response from Raytel and my healthcare providers to see if my Coumadin and Warfarin levels have to be adjusted." Dr. Shemin: "The studies that have been done, documenting the effectiveness of home testing, have been done in Europe where this type of testing for INR has been done for years. I think the data is strong and will be easily accepted as evidence based information for Drs. in the United States. The entry of Raytel providing services to patients who are anti-coagulated because of mechanical heart valves is significant. They are providing FDA approved devices, they're training the patient how to use them and they're providing a tracking system based upon their extensive experience tracking patients with pacemakers. Maureen: "We receive faxes probably an hour after the patient tests. So we never worry that we're missing something or that the patient is in any danger of any kind." Dr. Shemin: "When a surgeon discusses valve choice, the major discussion in regards to the mechanical heart valves since they have the durability advantage over tissue valves all centers around anticoagulation-taking the drug, what are the hassle factors, how frequently do you have to be tested and the anxiety of how anti-coagulation will change your lifestyle." Maureen: "If a physician asked me would I recommend self-monitoring for a patient, I would definitely say yes!" Gail: "I'm very happy with my lifestyle and I have Raytel to thank for it -- they have given me my life back."
Views: 3402 ok123us
A blood test for a substance called troponin can help doctors determine whether a patient with chest pain is having a heart attack. Dr. Indu Poornima, cardiologist at Allegheny General Hospital, explains how lowering the cut-off point for when troponin levels indicate a heart attack might help, or hurt, patients.
Views: 3685 Allegheny Health Network
uncleCare's Automatic Dose Notification and Adjustment Solution, or ADoNA, helps Coumadin Clinics lower costs and improve outcomes by extending the reach of EHR Systems and leveraging its pioneering healthStriver mobile app first deployed on iOS devices.
Views: 305 Phac Le Tuan
GAINESVILLE, Fla. --- Researchers have discovered a way to make a blood thinner safer for about 40 percent of African-Americans taking the drug by linking a common gene variation to the dose. These findings, published June 4 EDT in The Lancet, are the latest results from ongoing collaborative work by 42 researchers from 17 institutions in the International Warfarin Pharmacogenetics Consortium, including the University of Chicago, and led by University of Florida Health researcher Julie A. Johnson, a distinguished professor of pharmacy and medicine and director of the UF Center for Pharmacogenomics. A highly effective blood thinner taken by patients at risk for strokes caused by clotting, warfarin also contributes to nearly one-third of all hospital admissions for adverse drug events.
Views: 383 UChicago Medicine
CORRECTION - Spoken mistake in the first minute of the video -- The oldest drug on this video is heparin, NOT Warfarin. I created this presentation with Google Slides. Image were created or taken from Wikimedia Commons I created this video with the YouTube Video Editor. ADDITIONAL TAGS Anticoagulant Drugs Commonly used blood thinners for treating venous thromboses Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Warfarin Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Inhibits Vitamin K regeneration Therefore, inhibits Vit K-dependant factors Coag factors II, VII, IX, and X and protein C and S Warfarin Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Vitamin K Vit K epoxide reductase Vitamin K epoxide Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Warfarin Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Inhibits Vitamin K regeneration Therefore, inhibits Vit K-dependant factors Coag factors II, VII, IX, and X and protein C and S Requires bridging with use Warfarin blocks II, VII, IX, X, C, and S C, a coagulation cascade inhibitor, runs out first So if used alone, Warfarin has a COAGULATIVE effect at first Use with other coagulant for first five days Otherwise, skin necrosis Can be taken orally, effects require a few days NOT compatible with pregnancy Heparin Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Very negatively charged carbohydrate Polysaccharide with sulfate groups Binds to antithrombin Inhibits thrombin (IIa) and coag factor Xa Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Heparin Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Very negatively charged carbohydrate Polysaccharide with sulfate groups Binds to antithrombin Inhibits thrombin (IIa) and coag factor Xa Heparin must be 5 sugars long to bind AT and 18 sugars to inhibit thrombin in the heparin-AT complex Heparin monitored with Anti-Xa levels Coag factor Xa activity measured based on decrease in rate of: X â†’ Xa Antidote is positively-charged protamine sulfate Administered subcutaneously, incurs effects immediately Enoxaparin (Low Molecular Weight Heparin) Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Polymers approximately one third the size of big Heparin Cannot complex with antithrombin to inhibit thrombin Enoxaparin is not the required 18 sugars long Affects coag factor Xa, as measured with Anti-Xa test Improved effects against VTE associated with cancer Fondaparinux (â€œtiny Heparinâ€) Pentasaccharide portion of heparin binds to antithrombin Cannot complex with antithrombin to inhibit thrombin Affects coag factor Xa, as measured with Anti-Xa test Synthetically made, unlike others that are animal extracts Does not induce HIT, unlike the others New Oral Anticoagulants Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban NOACs cause fewer intracranial bleeds NOT used in patients with mechanical heart valves Rivaroxaban and Apixaban Inhibit factor Xa Metabolized in the liver Dabigatran Direct thrombin inhibitor Cleared through kidneys Argatroban Warfarin Heparin Enoxaparin (LMWH) Fondaparinux (tiny Heparin) NOACs Argatroban Direct thrombin inhibitor No need for antithrombin Therefore it inhibits all three coagulation tests TT, PT, and PTT Used in cases of HIT Metabolized in the liver
Views: 73315 MedLecturesMadeEasy
Vertebral artery dissection is a dissection of the inner lining of the vertebral artery, which is located in the neck and supplies blood to the brain. After the tear, blood enters the arterial wall and forms a blood clot, thickening the artery wall and often impeding blood flow. The symptoms of vertebral artery dissection include head and neck pain and intermittent or permanent stroke symptoms such as difficulty speaking, impaired coordination and visual loss. It is usually diagnosed with a contrast-enhanced CT or MRI scan. Vertebral dissection may occur after physical trauma to the neck, such as a blunt injury, strangulation or manipulation, but may also happen spontaneously. 1–4% of spontaneous cases have a clear underlying connective tissue disorder affecting the blood vessels. Treatment is usually with either antiplatelet drugs such as aspirin or with anticoagulants such as heparin or warfarin. This video is targeted to blind users. Attribution: Article text available under CC-BY-SA Creative Commons image source in video
Views: 8001 Audiopedia
Reference: ภญ. พรวลัย บุญเมือง
Views: 160 ThePAIRINJA
This video demonstrates how to prick your fingers (finger-tips) for obtaining a blood sample for checking your blood sugar when using a lancet device. In addition, I go into detail on how to use a lancet device, how to load the lancet into the device, how to massage the finger to get blood, and the number selection for depth of needle penetration. This diabetes blood sugar assessment tutorial can help those who are new to the process of pricking the finger to get a blood sugar sample. Visit: http://www.registerednursern.com
Views: 83105 RegisteredNurseRN
Xarelto was a new drug approved in 2011 for the prevention of stroke in patients with atrial fibrillation. It is part of a new class of drugs called new oral anti-coagulants.Xarelto claims to provide an improvement upon the standard therapy for atrial fibrillation for the last 50 years, a drug called Warfarin, also known as Xarelto was a new drug approved in 2011 for the prevention of stroke in patients with atrial fibrillation. It is part of a new class of drugs called new oral anti-coagulants. Xarelto claims to provide an improvement upon the standard therapy for atrial fibrillation for the last 50 years, a drug called Warfarin, also known as Coumadin.At first blush, Xarelto appears to be equally effective as Warfarin at preventing strokes. However, because it is a blood thinner, it also greatly increases your risk of experiencing a major bleeding event, but there is hope, and that is it’s possible to significantly reduce your risk of suffering a major bleed while on Xarelto. It’s a simple blood test.Warfarain patients have undergone this blood test for decades in an effort to reduce the risk of a major bleeding event. Unlike Warfarin, the makers of Xarelto, the drug companies of Bayer and Johnson & Johnson, have claimed in their advertisements and other promotional materials that Xarelto patients don’t need to have their blood tested.They claimed this is an advantage over Warfarin therapy and that not needing a blood test justifies them charging Xarelto patients almost 10 times more than Warfarin patients.This claim is simply not true. Recent publications indicate that if patients on these new drugs including Xarelto were to simply have their blood tested and then have their dose adjusted based on the results of that blood test, that their risk of a major bleed could be reduced by as much as 20 to 40 percent. This information has not been shared with doctors or patients.If you or a loved one have experienced this serious or fatal bleeding event while on Xarelto, you need to contact an experienced drug litigation attorney immediately to discuss and preserve your legal rights. At Consumer Injury, we are the national leaders in drug litigation.We take the key depositions in these cases and we will take these cases to trial if necessary.
Views: 758 John Davis
Learn how to recognize Deep vein and Superficial vein thrombosis and what to expect.BLOOD CLOTS -- HOW TO RECOGNIZE 1)Superficial-reddness, mild burning if along the Saphenous vein. Other surface veins may have a visible or palpable lump usually feels like a hard cord or pencil under the skin. Could continue into a DVT You can expect to be put on coumadin and will have only minor impairment if at all. It can be deceptively symptom free until the entire Saphenous vein becomes like a cord most of the way from your thigh down to the ankle. You most likely will not experience any leg swelling but you should see the vein become more prominent and then become hardened. 2)Deep vein-If in calf, dorsa flex the foot. If sharp pain then suspect thrombosis. 3)Deep vein- If between the thigh and knee-Femoral vein Can be difficult to detect at first because it tends to become established before symptoms develop. Symptoms may present as a lower muscle pain or pulled groin muscle. Further these pains may not always be present. They can be intermittent at first misleading you into thinking it's just a pulled muscle.Experience feelings of fluid build up upon standing and weakness in Quads at first . Later a feeling of dizzyness AFTER mild exertion. A craving for sweets for energy. DO NOT attempt to treat with anti-inflammatory NSAIDs like Aleve or Ibuprofen. Tylenol okay to use. Take a couple of aspirin a day until you have a chance to get to a doctor's offc. Do the pinch test to see if you are dehydrated...if skin does not snap back immediately start drinking fluids now. One you first feeling fluid building up and/or dizzyness upon standing you are probably within three days of requiring admission to the ER at the hospital. You will know you have reached a critical stage when your thigh muscles become weak, feel more and more pressure each time you stand and you feel dizzy after walking just a few yards. At this point you must go to the ER but try to have a bowel movement and pee before you go....you probably won't be able to for the next week or so. Just the physical swelling will cause that.DO THESE THINGS RIGHT NOW (TODAY) BEFORE GOING TO THE HOSPITAL FIRST THING: Laxative-If you even think you may have a thrombosis-Start immediately on either All-Bran cereal or Mira-Lax with each meal SECOND THING: Plan ahead-Transport (911=$900)/meals, grocery shopping, business now SECOND THING: Buy a pair of thigh high compression stockings 20-30mm Hg-no Rx nec. WHAT TO EXPECT: At the ER they will put an IV line in you to keep fluids going into your body. Your leg diameter will continue to swell for the next few days. Be sure you ask for a doppler to confirm thrombosis. Your pain levels will increase...you won't be able to walk but a few meters without passing out from orthostatic hypotension. If you are on diuretics for BP CONTINUE THEM. ASK THE HOSPITAL DOC (DAY 1) IF YOU CAN HAVE SOMEONE BRING YOU 20-30 mm thigh high COMPRESSION STOCKINGS FOR IMMEDIATE USE. You will need measurements of your ankle, calf, and thigh at the widest part. You will only use these until about two or three weeks after you get home then order some stockings at 30-40mm for the next 4-6weeks and then go to 40-50mm. As soon as you can (when the 30-40mm began to stretch and lose compression.The hospital may give you some short knee high compression socks which are useless and just slow your progress or they may use a machine with a pressure cuff to stimulate circulation---they usually don't get the cuff adjusted tight enough to do any good....take some control here and do it yourself. Each day, Ask your hospital doc if your vital signs have returned to normal (such as kidney function). If so then don't let the hospital keep putting IV fluid into your body...that just makes your leg feel like it is going to burst plus it makes it almost physically impossible for you to use the toilet in your room no matter where it is. They will argue the IV is for your benefit. Tolerate what you can but take control. You will also feel your upper body begin to retain fluid as well. This will also make going to the toilet a lot more difficult. Until you can get the fluid in your body down (ask doc to use lasix for that) you will be in great pain and pretty immobile and severely constipated and unable to pee. You will be put on Coumadin or Warfarin accompanied with a few shots of Lovenox injections for about ten days. The Coumadin you may be on forever. You will also be given medication for pain.
Views: 374197 32f3245f4
Enormous Stroke Symptoms, Treatments, and Outlook. Review. A stroke is the thing that happens when blood stream to some portion of the cerebrum is intruded. The outcome is oxygen hardship to mind tissue, which can have decimating results. The capacity to recuperate from a stroke relies upon the seriousness of the stroke and how rapidly you get medicinal consideration. A gigantic stroke can be lethal, however for some, individuals encountering a stroke, recuperation is long yet conceivable. Side effects of a stroke: The seriousness of side effects relies upon the area of the stroke and the extent of the stroke. The side effects of a stroke can include: a sudden, extreme cerebral pain. heaving. neck solidness. lost vision or obscured vision. discombobulation. lost adjust. deadness or shortcoming on one side of your body or face. sudden disarray. trouble talking. trouble gulping. Causes. Strokes happen when blood stream to your mind is interfered. They can be ischemic or hemorrhagic. Hemorrhagic stroke. A hemorrhagic stroke happens when veins in the mind crack, making blood gather in the encompassing cerebrum tissue. This causes weight on the cerebrum and can leave some portion of your mind denied of blood and oxygen. Thirteen percent of strokes are hemorrhagic, as indicated by the American Stroke Association. Ischemic stroke. The greater part of strokes are ischemic. An ischemic stroke comes about because of a coagulation that pieces blood stream to a specific area of the cerebrum. The coagulation might be a cerebral thrombosis, which means it frames at the site of the blockage in the cerebrum. Then again, the coagulation might be a cerebral embolism, which implies it shapes somewhere else in the body and moves into the cerebrum, causing a stroke. Hazard factors. As per the Centers for Disease Control and Prevention, new or constant strokes influence 800,000 Americans every year. The hazard factors for a stroke incorporate a family history of stroke, and: Sex. Strokes are more typical in men than in ladies in most age bunches aside from more seasoned grown-ups, yet stroke is more savage in ladies than in men. This might be on the grounds that ladies generally live longer than men and strokes are most regular in more established grown-ups. Conception prevention pills and pregnancy can likewise expand a lady's danger of stroke. Race. Individuals in the accompanying gatherings have a higher danger of stroke than Caucasians, yet hazard abberations among these individuals in these gatherings diminishes with age: Local Americans. Hispanics. Asians. African-Americans. Way of life factors. The accompanying way of life factors all expansion your danger of stroke: smoking. eat less carbs. physical dormancy. liquor manhandle. sedate manhandle. Prescriptions and medicinal conditions. Anti-conception medication pills and prescriptions that thin the blood, for example, warfarin (Coumadin), Xarelto, or Eliquis can build your hazard. Pregnancy and certain medicinal conditions can likewise build your danger of stroke. Medicinal conditions that expansion your hazard include: heart and vascular issues. diabetes. a past filled with stroke or ministroke. elevated cholesterol. hypertension, particularly if it's uncontrolled. corpulence. metabolic disorder. headache. sickle cell sickness. conditions that reason a hypercoagulable state. conditions that reason exorbitant dying, for example, low platelets and hemophilia. treatment with meds that are coagulation busters. a background marked by aneurysms or vascular anomalies in the mind. polycystic ovarian disorder since it's related with aneurysms in the cerebrum. tumors in the cerebrum, particularly dangerous tumors. Age. Grown-ups over age 65 are at the most serious danger of stroke, particularly in the event that they: have hypertension. have diabetes. are stationary. are overweight. smoke. Diagnosing a stroke. On the off chance that your specialist speculates you're having a stroke, they'll perform tests to enable them to make a determination. They can likewise utilize certain tests to decide the sort of stroke. In the first place, your specialist will play out a physical exam, testing your psychological readiness, coordination, and adjust. They'll search for: deadness or shortcoming in your face, arms, and legs. indications of perplexity. trouble talking. trouble seeing ordinarily. On the off chance that you've had a stroke, your specialist may likewise perform tests to affirm the sort of stroke you've had and to ensure they're giving you the correct sort of treatment. Some basic tests include: a CT of the mind. a MRI. a processed tomography angiogram. an attractive reverberation angiogram. a All Photos Licensed Under CC Source : www.pexels.com www.pixabay.com www.commons.wikimedia.org
Views: 1656 Health Care
Vitamin k is often found in food. Vitamin k self nutrition data. Dietary considerations in coumadin patients grove medical 10 reasons why you should be eating more tomatoes. Leafy green vegetables such as kale, spinach, and broccoli usually contain below is a listing of some common foods vitamin k content per specified portion. Choose 1 cup of these daily)cucumber warfarin you may need to takemultivitamins are fine take, but choose a brand that does not contain vitamin k one sun dried tomatoes contains 29. Add to tracking add compare create recipe nutrient search foods lowest in vitamin k and starch sugars tomato vegetable juice, low sodium 5mcg 0g 4g 9 aug 2015 yes, there most certainly is juice (with or without salt) 1 cup 243 grams of contains 5. Key low ok! med eat. 13 jun 2011 there is more to eating florida tomatoes than good taste, they are great for tomatoes contain a considerable amount of calcium and vitamin k. Florida a food guide for people taking warfarin library university 18 foods high in vitamin k stronger bones what can we eat that has it? Tomatoes 101 nutrition facts and health benefits healthline. Several other vegetables also contain vitamin k. Did you know that tomatoes do not have to be a deep red color an removal of lycopene containing foods (including tomatoes) from the diet was likely molybdenum and vitamin k. Both of in addition, it also does wonders for your eyes, skin, bones and teeth tomatoesvegetables low vitamin k. Vitamin k & blood thinners ask the dietitian. Portions as well vitamin k content specified in the usda national of common foods. Vitamin k fruits and vegetables that are low in vitamin foods for a warfarin (coumadin) diet. Vitamin k levels in vegetables coumadin (warfarin) diet why vitamin can be dangerous if you take warfarin health that do not have woman. Foods lowest in vitamin k and starch sugars vegetables tomato juice how much k? Tomatoes the world's healthiest foods. Brussels sprouts and broccoli tomato basil salads to reap the benefits of cucumbers' vitamin k content tomatoes are high in many nutrients, also contain a cancer fighting substance called lycopene. Our content does not constitute a medical consultation. Vitamin k content of common foods beverages. Low find out the exact amount of vitamin k (in micrograms) almost a thousand common foods! tomato, 1 cup chopped, 14. Turnip, 4 oz 3 dec 2015 if necessary, you can discuss including regular sources of vitamin k in your diet with doctor case warfarin dosage would need to be adjusted, she adds. Googleusercontent search. I am currently pod peas, mung bean sprouts, tomatoes, red cabbage, carrots and potatoes nutrient search foods highest in vitamin ksalad dressing, bacon tomato k 42mcg. A prudent does cooking, freezing, or drying foods change how much vitamin k is in them? . There are a variety of vegetables that contain lower amounts vitamin kpeppers because many green k, there several foods you low or without k include cucumbers, eggplants, tom
Views: 108 Wen Wen
Drug prescription and kinetic dose adjustments in AKI ESNT 2018 Dr Tamer ElSaid
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I have been on xarelto since december 2013 14 may 2015 'given the dose adjustments often needed for patients vitamin k you and your doctor should decide if will take or this means can eat what want without worrying which foods plate are high in kxarelto. If you suffer from callused feet, try this amazing trick unlike warfarin, a blood thinner that has been around for decades, xarelto no process is dependent upon vitamin k, which what thinners such as if took and suffered severe side effects, we can help. Can i still eat all the leafy when taking xarelto do you have to get your pt inr checked and you? . You just have 27 may 2015 xarelto doesn't affect vitamin k, and constant monitoring isn't although significant bleeding events occur less frequently when taking than with warfarin, they can. Amounts of vitamin k 9 sep 2014 was wondering what everyone knows about this vit k2 i have heard if you are on blood thinners (warfarin etc) can't take it and in some patients can lead to thrombosis. Before you begin do foods high in vitamin k interfear with taking xarelto? What can't help that have afib, but can stay up to date on the information warfarin interferes and at least six blood clotting factors i'm considering for my bones, i take thinner not surprisingly, increasing your intake of long term may require slightly rivaroxaban (xarelto) are thought be affected by 'with coumadin reason get tested make sure a therapeutic range, if result is too high, ultimately benefits k2 supplements while dabagitran (pradaxa), prasugrel (effient), (xarelto), aspirin or fish oil 2 nov 2012 therefore, patients need watch what they eat xarelto, other hand, influenced and, who consider xarelto therapy fall into one two groups webmd provides about which avoid oral. Should i avoid certain foods while taking xarelto? You might also like new data show once daily xarelto may be an alternative to vitamin k antagonists more than 151,000 of those patients have been or will part controlled, you a higher risk bleeding if take and can all my vitamins which include vit d, e, multi vitamin, fish oil, cq10 calcium mag, few others on off. Rivaroxaban (xarelto) when taking blood thinners, you have a higher risk for bleeding. New data on xarelto versus vitamin k antagonists in atrial do you have afib or dvt pe blood clots? Xarelto. Can you take vitamin c when taking the blood thinner xarelto? . Vitamin k and xarelto why should be taken in the evening. Sure to tell your doctor of all medications and substances you take while on coumadin. Vitamin k and xarelto interaction dr kate nd. Does vitamin k interfere with blood thinner medications? . Xarelto what's the difference between these two xarelto side effects, fda black box warning & interactions. It is amount of vitamin k rich foods you eat. Is xarelto dangerous? Everything you need to know dyer how much vitamin k can have while on coumadin rivaroxaban k2 patient. Vitamin k interfear with taking xarelto? What foods most blood thinners rea
Views: 439 Wen Wen
Patients are unique, and improvements in medicine and laboratory technology are showing that drug exposure and its effects can be very different in an individual patient despite receiving the same dose. Therapeutic drug monitoring is becoming a more recognized and utilized tool to improve patient-specific drug efficacy and reduce toxicity, especially in the areas of oncology and HIV/AIDS. Dr. Rosa Yeh, Director of the Pharmacokinetics Laboratory at the Seattle Cancer Care Alliance reviews recent laboratory and clinical trial evidence regarding drugs in oncology and HIV/AIDS and the benefit of therapeutic drug monitoring.
Views: 3116 UW Video
This video “Pharmacology of Coagulation: Overview” is part of the Lecturio course “Pharmacology of Blood Coagulation” ► WATCH the complete course on http://lectur.io/cagltdrgs ► LEARN ABOUT: - Pharmacology of coagulation - General principles ► THE PROF: Dr. Shukle is a board certified specialist in internal medicine. He performs over 150 special lectures across the nation each year with various audiences ranging from the general public, to nurses, to physicians, to medical specialists. His lectures are engaging, funny, and informative. ► LECTURIO is your single-point resource for medical school: Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: http://lectur.io/cagltdrgs ► INSTALL our free Lecturio app iTunes Store: https://app.adjust.com/z21zrf Play Store: https://app.adjust.com/b01fak ► READ TEXTBOOK ARTICLES related to this video: Pharmacology and Toxicology: Anticoagulants http://lectur.io/coagulantarticle ► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribe ► WATCH MORE ON YOUTUBE: http://lectur.io/playlists ► LET’S CONNECT: • Facebook: https://www.facebook.com/lecturio.medical.education.videos • Instagram: https://www.instagram.com/lecturio_medical_videos • Twitter: https://twitter.com/LecturioMed
Views: 1828 Lecturio Medical Education
Vertebral artery dissection (VBD) occurs about 5/100k people per year - accounting for 25% of stroke under 55 years old. Although associated with fibromuscular dysplasia in 15% of cases, connective tissue diseases should also be considered. VBD usually begins in the foraminal (V2) or atlas loop (V3) segments. Most patients (77%) have ischemic symptoms: 10% TIA; and, 2/3 of all develop posterior circulation infarcts. Treatment includes anticoagulants (heparin followed by oral warfarin) and interventional radiologic procedures (clot retrieval, angioplasty, thrombolysis).
Views: 7485 James Smirniotopoulos
اسم المساق: كيمياء طبية اسم المحاضر: د. محمد عيد شبير مشرف الموقع : أ. خالد محمد الأدغم الكلية: العلوم الصحية القسم: العلـوم الطبيـة المخبرية وصف المساق : يغطي هذا المقرر الأساس النظري لكيمياء جسم الإنسان، التغيرات التي تطرأ على تركيز هذه المواد في الحالات المرضية، طرق قياس هذه المواد في سوائل الجسم المختلفة، التعرف على الفحوصات التي تقدر كفاءة عمل الكلية، وتفسير النتائج المخبرية. مركز التميز والتعليم الإلكتروني: http://lectures.iugaza.edu.ps/ http://elearning.iugaza.edu.ps/ قائمة محاضرات المساق: https://www.youtube.com/playlist?list=PL9fwy3NUQKwboYj_ZQJZ7yT_yG_9Cg_Mj الجامعة الإسلامية غزة: http://www.iugaza.edu.ps/ar قناة مركز التميز والتعليم الإلكتروني بالجامعة الإسلامية - غزة على YouTube : http://www.youtube.com/iugaza1
Views: 3601 iugaza1
Eric Prystowsky, MD explains how to maintain a consistent medication schedule and the importance of medication adherence. For more information and resources, visit http://spr.ly/60528YrNe
Views: 347 American Heart Association
Hear a real patient's story about his experience using P3 and pharmacogenetic testing to find the right treatments for his GERD and high blood pressure. Names and identifiers have been removed, and actors have been used to protect the privacy of the patient. For more information, visit www.personalizedprescribing.com
Views: 46 Personalized Prescribing
Caripill is a formulation of Tablets & Syrup containing papaya (Carica papaya) leaf extract.Each Caripill tablet contains 1100 mg of Carica papaya leaf extract and Caripill Syrup contains 275 mg / 5 ml Carica papaya leaf extractThe extract in Caripill is found to be useful in increasing the platelet count.This medicinal use of Caripill is proven through clinical studies in patients in India & other parts of the world with low platelet count associated with dengue. One tablet of Caripill (1100mg) should be taken three times a day, for five days.For children more than 1 year and less than 5 years: 275mg (5ml) three times a day for 5 days.For children more than 5 years and less than 18 years: 550mg (10ml) three times a day for 5 days.Should be used with caution in individuals with bleeding disorders or those taking blood thinning medications such as aspirin or warfarin. Co administration of extracts of Carica papaya with oral hypoglycemic may lead to very low blood glucose as observed in one of the experimental animal study. Thus it is important to closely monitor the blood glucose levels regularly to avoid hypoglycemia. It has been found to increase the bioavailablity of amiodarone and therefore the dose should be adjusted.
Views: 5049 zed medico
From Cambridge (UK) - According to a report published in the journal Nature, genetic mutations, known as copy number variants (where sections of DNA are deleted or duplicated), have been identified as a cause of severe childhood obesity. The researchers examining 300 severely obese children found that some of these children were missing sections of chromosome 16. They believe that a specific gene on this chromosome, SH2B1, plays a role in regulating weight and blood sugar. From California - Researchers have found a compound that may restore some lung function in those who suffer from cystic fibrosis, according to a report published in the online edition of Nature Chemical Biology. The drug suberoylanilide hydroxamic acid (SAHA), originally used to treat lymphoma, was able to restore 28% of normal lung cell function in cells taken from cystic fibrosis patients. While further research is necessary, this may one day ease the symptoms and improve the quality of life of those who suffer from cystic fibrosis. And finally, from Hamilton - A more convenient oral medication for those with the clotting disorder venous thromboembolism may soon be available. VTE is usually treated with the blood thinner warfarin, which requires patients to carefully watch their diet and has known interactions with other drugs. According to a new report published online by The New England Journal of Medicine, dabigatran etexilate is as safe and effective as warfarin, without the need for such careful monitoring or dose adjustment.
Views: 582 insidermedicine
*Subscribe for more great NCLEX videos: https://www.goo.gl/8mBXbY Diagnostic lab tests help determine a patient’s condition, therefore it is important for nurses to be knowledgeable about the different tests and their values in order to make informed clinical decisions. We’re going to look at some common lab values that every nurse needs to be familiar with. ► Get a NCLEX Study Guide: https://goo.gl/b5dLD3 ► Learn with NCLEX Flash Cards: https://goo.gl/S03ZpJ ► NCLEX Lab Values Chart: https://www.mometrix.com/academy/nclex-exam/lab-values/ ► FREE NCLEX Practice Questions: http://www.mometrix.com/academy/nclex-exam/ STAY IN TOUCH! ► Like NCLEX Prep Facebook Page: https://www.facebook.com/MometrixNCLEX/ ► Follow our NCLEX Twitter Account: https://twitter.com/MometrixNCLEX ► NCLEX Pinterest Board: https://goo.gl/NbA2CP
Views: 110285 NCLEX Study Guide