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Coumadin (Warfarin): Clinical Pharmacist Explains Everything You Should Know
 
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Dr. Jacqueline DiMarco, clinical pharmacist, explains everything patients should know about the blood thinner Coumadin (warfarin). We cover the mechanism of action against vitamin K, the conditions it treats (including atrial fibrillation and deep vein thrombosis a.k.a DVT), the INR and how it should be monitored, as well as the Lovenox bridge and dietary recommendations. Make sure to check us out on the web at http://www.DoctorVoices.com for the most dependable health information on the internet. This video and all content produced by Doctor Voices is for educational purposes only, please make sure to follow with your doctor for all of your health conditions. Please see our terms of use on our site.
Просмотров: 36909 360 Pain Academy
How to self-test your INR with CoaguChek XS
 
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CoaguChek® XS is an easy to use portable device for people on long-term warfarin. CoaguChek® XS gives people on warfarin the option to self-monitor their INR levels, putting them more in control. Self-monitoring with the CoaguChek® XS meter gives people an alternative way to test their blood clotting time wherever they are. Watch to find our how you can achieve fast easy testing and visit https://shop.coaguchek.com for more information
Просмотров: 120561 CoaguChek UK
INR Nursing Considerations, Normal Range, Nursing Care, Lab Values Nursing
 
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Grab our free cheatsheet covering the 63 Must Know Labs for nurses right here: http://www.NRSNG.com/labs Listen to all the episodes at: https://www.nrsng.com/labspodcast/ View this post on our blog: https://www.nrsng.com/international-normalized-ratio-inr/ International Normalized Ratio (INR) Normal: 0.8 - 1.2 Therapeutic Levels of Warfarin 2.0 – 3.5 Indications:  Evaluate therapeutic doses of Warfarin  Identify patients at higher risk for bleeding  Identify cause of: o Bleeding o Deficiencies Description: International normalized ratio(INR) takes results from a prothrombin time test and standardizes it regardless of collection method. What would cause increased levels?  Disseminated Intravascular Coagulation (DIC)  Liver disease  Vitamin K deficiency  Warfarin What would cause decreased levels?  Too much vitamin K  Estrogen containing medications such as birth control
Просмотров: 39008 NRSNG
FULL VIDEO: HOW TO Check Your INR At Home Roche CoaguChek - Blood Clot Thinner Coumadin INR Test
 
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HOW TO: Check your INR Level at Home with your INR Checker Machine. Using the Roche CoaguChek INR Machine to Measure your Blood Clotting Factor. Important for Patients on Blood Thinners Warfarin & Coumadin. Make sure your Blood Clots don't return or have Internal Bleeding. Use at Home INR Test to Check your Blood. Have you had Blood Clot?? DVT (Deep Vein Thrombosis)? PE (Pulmonary Embolism)? It is VERY IMPORTANT that You Check Your Blood VERY OFTEN to keep your Clots away & Hemorrhaging away as well! The At Home System lets you Maintain your INR Levels on the Go if you travel a lot OR keeps you from having to go to Labs Repeatedly. I am VERY Thankful to have Mine! And This is BY FAR The BEST INR Machine Available!!! Please Comment if You have had to check your INR - Also, Feel free to Ask me ANYTHING!!! I will Be SO Happy to Help! This is a Scary Circumstance & I have been using mine for a while now - I am Confident I can help Most people with Questions! Best Wishes!! Sincerely Priscilla PLEASE HIT THUMBS UP IF THIS HELPED!!!! THANKS!! *OPEN ME* ***HIT THUMBS UP!*** -------------------------------------- *****COMMENT!***** -------------------------------------- ******SHARE!****** -------------------------------------- ****SUBSCRIBE!**** ---------------------------------------------------------------------------------- https://www.youtube.com/c/ThePrissyMommyLife ----------------------------------------------------------------------------------- Thank you so much for watching! Please Hit the Thumbs Up if you Like our Videos, Share, & Subscribe!! We will be uploading fun content regularly! Let us know if you have any special requests as well! Take Care! ~Prissy~ ***LET'S BE FRIENDS FOREVER!!*** --------------------------------------------------------- *SOCIAL MEDIA*: ---------------------------- Instagram: @__prissy__ Twitter: @__prissy__ Facebook: Michael N Priscilla Fitzgerald *Send Mail Packages or Samples To*: ------------------------------------------------------------ ATTN: PRISSY or THE PRISSY MOMMY LIFE P.O.Box 945 Milan, TN 38358 *Contact Email*: -------------------------- ThePrissyMommyLife@gmail.com *SUBSCRIBE*: ----------------------- https://www.youtube.com/c/ThePrissyMommyLife *RELATED LINKS & VIDEOS*: ---------------------------------------------- MY CATASTROPHIC GUN FAILURE - GLOCK https://youtu.be/jhFy-XB-7ws BLUE ANGEL #6 HONOR TRIBUTE - MISSING MAN FORMATION https://youtu.be/BQ622MG1pYE BRIETLING JET TEAM https://youtu.be/OPaXwfqaHH0 PRISSY'S GOOGLE HELP ANSWERS... https://youtu.be/iMwMcxhH6AU 3D/4D ULTRASOUND https://youtu.be/ds0Ppc4hwak MAMAROO REVIEW https://youtu.be/NhrJxW5ffb0 BABY CAUGHT BREATHING IN WOMB https://youtu.be/K0rES41DmXg BABY'S FIRST BATH IN HOSPITAL ROOM https://youtu.be/HnQkO6UQ-CM MINECRAFT REAL LIFE TOOTH EXTRACTION https://youtu.be/QiSqZhjnKDc Palin Belly Dancing https://youtu.be/v7C4nRfEs3U Slow Motion Lip Flapping!! HILARIOUS!! https://youtu.be/BVuzYUT8tm0 ABC Block Stacking! https://youtu.be/drAG6B0iHwk Slow Mo Trampoline Popcorn Jump https://youtu.be/yspVPab4c4k Slinky Walking!! https://youtu.be/hAGwhkhxdjI Our Pet Frog Abagail https://youtu.be/8v64G4fd2nc NASA Moving Objects With Your Mind https://youtu.be/uusPWn0iLcs Dog Jumping on Trampoline https://youtu.be/MMSFqI2LdIE ---------------------------------------------------------------------------------------------------------------- SUBSCRIBE: https://www.youtube.com/channel/UCvirL_ltP7Cgov3qmH9KjPg ***IF YOU SUBSCRIBE TO ME - COMMENT SUBSCRIBED OR SUBBED ON ONE OF MY VIDEOS & I WILL AUTOMATICALLY SUB YOU BACK!*** ---------------------------------------------------------------------------------------------------------------- Email: theprissymommylife@gmail.com ---------------------------------------------------------------------------------------------------------------- SOCIAL MEDIA: ---------------------------------------------------------------------------------------------------------------- ThePrissyMommyLife FACEBOOK: http://www.facebook.com/MichaelNPrisc... ThePrissyMommyLife INSTAGRAM: http://www.instagram.com/__prissy__ ThePrissyMommyLife TWITTER: http://www.twitter.com/__prissy__ That's @__prissy__ (With 2 Underscores) ;) ----------------------------------------------------------------------------------------------------------------*Send Mail to*: ATTN: PRISSY or THE PRISSY MOMMY LIFE P.O.Box 945 Milan, TN 38358 ---------------------------------------------------------------------------------------------------------------- *Contact Email*: ThePrissyMommyLife@gmail.com ----------------------------------------------------------------------------------------------------------------
Просмотров: 962 ThePrissyMommyLife
Warfarin: Information About Warfarin | Warfarin Interactions | Warfarin Side Effects (2018) Coumadin
 
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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.
Просмотров: 4804 AbrahamThePharmacist
Hemostasis: Lesson 4 - Tests (INR, PTT, platelets, fibrinogen, D-dimer)
 
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A review of the measurement and interpretation of platelet count, INR, PTT, fibrinogen, d-dimer, and the mixing study.
Просмотров: 151602 Strong Medicine
#52 - prothrombin time (PT), partial thromboplastin time (PTT), International normalized ratio (INR)
 
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Visit http://www.kevinmangum.com for a full list of videos. Enjoy. The clinical pathology lab assesses the two pathways using two standard assays: prothrombin time (PT) and partial thromboplastin time (PPT). The concept of International normalized ratio (INR) is also discussed with the concept of prothrombin time (PT).
Просмотров: 138603 Kevin Mangum
Warfarin or Coumadin Medication Information (dosing, side effects, patient counseling)
 
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Your Medication Warfarin Warfarin comes in 1, 2, 2.5, 3, 4, 5, 6, 7.5, and 10 mg tablets. Warfarin is most commonly used to prevent blood clots and to lower the chance of a heart attack or stroke. No matter what your doctor has you taking it for, warfarin is usually taken by mouth with or without food once a day. If upset stomach occurs take warfarin with food. If you miss a dose, take the missed dose as soon as you think about it. If it is close to time for your next dose, skip the missed dose and resume your normal dosing schedule. Do not take 2 doses at the same time or extra doses. Some common side effects with warfarin include bleeding, dizziness, tiredness, fever, headache, general discomfort, and pain. Some less common side effects include dark blue or purple toes, gangrene of skin, or other tissue and liver problems. While taking warfarin it is important to report bleeding, accidents, falls, or new or discontinued medications. Also, report significant changes in smoking or dietary habits. As these may require your dose to be adjusted. While taking warfarin, remember it is important to tell your doctor or pharmacist if you: • Have signs of an allergic reaction (rash, itching, swelling, tightness of the chest, etc.) • Are pregnant or plan to become pregnant. • Have any signs of bleeding problems, like bruising; black, tarry, or bloody stools; bleeding gums; blood in the urine; coughing up blood; cuts that take a long time to stop bleeding; feel dizzy; feeling very tired or weak; nosebleeds; pain or swelling; throwing up blood or throw up that looks like coffee grounds; or very bad headaches. • Start taking new medications, vitamins, or supplements. All forms of warfarin need to be stored at room temperature in a dry place, protected from light. Keep warfarin in a safe place out of reach of children and pets. Before throwing out any unused warfarin, check with your pharmacist about proper disposal.
Просмотров: 137 RxLearn
Blood clotting time determination by capillary method ( ब्लड क्लोटिंग टाइम कैसे पता लगाएं)
 
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Purchase blood lancet from- https://amzn.to/2LKe5ys It is very essential for your blood to clot at the optimum time to prevent the loss. clotting time is a minimum time required for blood to form a clot. clotting time of blood has to be determined or examine to find out the exact time at which your blood gets a clot. it may be determined by mainly 02 methods- pushpendra patel solution pharmacy 1- Capillary tube method 2- Slide method to know more about slide method follow the link- https://www.youtube.com/watch?v=uwVH7VfjOjc Get in touch with solution by just clicking following links- Facebook page- https://www.facebook.com/pharmavideo/ Facebook Group- https://www.facebook.com/groups/solutionpharamcy Instagram- https://www.instagram.com/solutionpharmacy/ Mail Us for Free Pharmacology Materials- solutionpharmacy@gmail.com LinkedIn- http://linkedin.com/in/pushpendrakpatel Review and rating - https://www.facebook.com/pg/pharmavideo/reviews/?ref=page_internal
Просмотров: 204735 Solution- Pharmacy
Monitoring My INR ( blood level ) while on blood thinners !
 
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Big O checking his INR level !
Просмотров: 387 Big O
Warfarin
 
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WARFARIN- anticoagulant IND - to prevent the formation of new blood clots and prevent existing blood clots from getting larger. -Mode of action of warfarin: Interferes with the synthesis of vitamin K-dependent clotting factors. HOW TO USE? -The strength and colour of the tablet 1 mg - Apo-Warfarin (brown), Coumadin (pink) 2 mg - Apo-Warfarin (lavender), Coumadin (purple) 3 mg - Orfarin (blue). 5 mg - Apo-Warfarin (peach), Coumadin (peach), Orfarin (pink). -Remind the patient not to remember the colour, remember the dose prescribed instead. The dosage and administration -Dose & duration based on indication and international normalised ratio (INR) target. -Must be taken at the same time every day. -If missed a dose for more than 8 hours, skip the dose and take the next dose (do not double the dose). -To inform healthcare professionals (dentist, surgeon, doctor, pharmacist) if patient is planning to get pregnant, tooth extraction, or when getting consultation for medication, supplement or herbal remedies. INR -To check how long it takes for your blood to clot. The higher your INR is, the longer it takes for your blood to clot. Target INR -The targeted INR is 2-3 except for stroke prophylaxis in patients with mechanical heart valves such as mitral valves (INR of 2.5-3.5). -Follow the scheduled blood test and the counselling appointment made to achieve targeted INR as suggested by the doctor. -Bring along anticoagulant booklet and all medications during the doctor/pharmacist appointment. Side effects of medication -Educate patient on symptoms of bleeding such as bruises of unknown cause, blood in urine/dark-coloured urine, black stools,gum bleeding or heavy menstrual bleeding. -Report to doctor and pharmacist if any sign or symptom of bleeding occurs. Drug-drug/food interactions -Consult doctor and pharmacist before starting, stopping or changing dose of any medication/supplement, irregardless ofwhether it is a prescription or over-the-counter medication including traditional medicines. -Monitor the intake of food which are rich in vitamin K such as green, leafy vegetables. Have consistent intake of vegetables and food with high content of high vitamin K. -Follow a balanced and consistent diet. -Review patient’s lifestyle such as alcohol consumption, smoking and stress. Advice to only consume small quantity of alcohol, -stop smoking and manage stress as these will affect the therapy. Pregnancy and breastfeeding -Advise women with childbearing age that warfarin can have adverse effects on fetal development (first trimester), therefore,need to inform doctor if planning to get pregnant. -Very little warfarin gets into the breast milk, therefore, it is safe to be taken if the mother is breastfeeding. Thank You.
Просмотров: 10998 thomas Tan
7. Performing PT INR Test
 
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Make sure that you have all the supplies needed before you start, including, a 21 gauge lancet, Sample Transfer Tubes, sterile alcohol prep pads, gauze square, and a biohazard, or sharps, waste container. For fingerstick blood testing, increasing the flow of blood in the finger will help you capture a good drop of blood. Before you lance the finger, have the patient warm their hand by washing it in warm water, or by using a hand warmer. Ensure that the patient’s hand is dry before testing. Do not use fingers with tight rings, scars, calluses, or other features that prevent getting good access to the blood. One of the middle or index fingers on either hand is recommended. Gently squeeze or massage the finger to be lanced towards the tip of the finger. Clean the fingertip with an alcohol wipe using one side for the first cleaning. Use the second side for a final wipe. Dry the fingertip with gauze to remove any excess. Place the patient’s hand on a solid surface with the palm of the hand facing up. Remove the cap from the single use 21-gauge lancet. Place the lancet against the skin. Holding the body of the lancet, push down firmly against the finger to lance the surface of the skin. Collect the sample using a Sample Transfer Tube. Hold the transfer tube below the bulb and horizontal or with the bulb pointing slight towards the ground to let gravity assist the filling of the tube. Touch the tip of the tube to the bead of blood until the blood reaches the black line and stops moving. Do not squeeze the bulb of the transfer tube at any point during the collection process. Shift your thumb and index finger to the flat sides of the bulb on the transfer tube covering the air holes. Rest your hand on the meter. Roll your hand towards the test strip and touch the tip of the transfer tube down onto the bottom of the sample application well where the green light is flashing. Apply gentle pressure to the bulb until the blood just exits the tube. Do not produce air bubbles. Hold that pressure on the bulb while you pull your hand away from the meter to avoid back-suctioning the sample. You must apply the blood to the test strip within 15 seconds of lancing the finger. Once the sample transfer tube is filled apply the sample immediately to the test strip. The light should go out and the meter should display “Testing Please Wait”. The testing time is the patient’s actual clotting time as the system produces a true prothrombin time. Never add more blood to the test strip. Never collect a second sample from the same fingerstick. When testing is complete, the meter beeps once and the results (INR and Prothrombin Time appear on the screen. If an error is displayed, either not enough blood sample was applied or the sample had air bubbles in it. Refer to the trouble shooting section of the manual. Remove the strip and retest with a new strip and fresh fingerstick from a different finger. Remove the test strip and properly dispose along with the sample transfer tube and lancet. Turn off the meter. Record and report the result which can also be recalled from the memory. Turn the meter off by pressing the POWER button when you are finished testing. If left unattended, the meter automatically turns off in a few minutes. The last 100 test results are stored in memory with the time and date.
Просмотров: 22034 Coag-Sense PT/INR Monitoring System
Performing PT/INR Test Demo video
 
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Coagu-Sense Performing a PT/INR Test
Просмотров: 6422 Marketing Reload USA
Checking My INR 2010
 
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Просмотров: 5 Jeff Bales
Anticoagulation strategies for Atrial Fibrillation [UndergroundMed]
 
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For more videos, check out our website at: http://videos.undergroundmed.net
Просмотров: 2391 UndergroudMed
PT INR TEST Explain in Hindi
 
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What is a normal prothrombin time? What does it mean when prothrombin time is high? How prothrombin time is measured? What is a normal INR level in blood? When your INR is too high? प्रोथ्रोंबिन टाइम (PT) एक प्रकार की खून की जांच होता है। जिससे यह पता लगाया जाता है कि Blood को जमने(clot) में कितना समय लगता है। Prothrombin time टेस्ट का प्रयोग रक्तस्त्राव (bleeding) जैसी समस्याओं का पता लगाने के लिए किया जाता है। पीटी (PT) का प्रयोग यह भी जाँच करने के लिए किया जाता है कि Blood की bleeding और clotting की रोकथाम हेतु उपयोग की जा रही दवाइयाँ काम कर रहीं हैं या नहीं। symptoms • Unexplained bleeding or easy bruising • Nose bleeding • मसूड़ों से खून बहना • vein or artery मे blood clot होना • Chronic liver disease ( hemostasis) • सर्जरी से पहले आदेश दिया जा सकता है सर्जरी में रक्त की हानि का खतरा बढ़ जाता है • bleeding disorder Normal range Prothrombin time PT 11-14 seconds International normalized ratio INR 0.8 to 1.2 Warfarin Normal INR Levels are 2.0 to 3.0 for people with the following conditions1 • Treatment for deep vein thrombosis (dvt) - blood clot in leg • Treatment for pulmonary embolism (pe) - blood clot in lung • Prophylaxis of venous thrombosis (high-risk surgery) • Tissue heart valves • Acute Heart Attack • Valvular heart disease • Atrial fibrillation IgE test-https://youtu.be/ph6mjLxN4WY vit b12 test-https://youtu.be/SpxLAeoJ8HU Uric acid test-https://youtu.be/0e5anNu1LFY Hba1c test-https://youtu.be/R2A61IfNXRw Lipid profile-https://youtu.be/Cdh7as8Uluk thyriod profile-https://youtu.be/1bXoZOrm5oI LFT test-https://www.youtube.com/watch?v=Xxmfq... Ana test-https://www.youtube.com/watch?v=yEINr... CRP TEST-https://www.youtube.com/watch?v=bDjmL... pre-diabetes-https://youtu.be/3cihIb_sBeg Anti tpo test-https://www.youtube.com/watch?v=WH27Q..
Просмотров: 48119 Pathology knowledge
Warfarin Monitoring
 
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CanadaQBank.com Warfarin Monitoring Instructional Tutorial Video Video Transcript: When a patient is on Warfarin, in order to monitor how thin their blood is, you will need to calculate their INR. INR stands for 'International Normalized Ratio'. The INR is calculated by dividing the patients Prothrombin Time (PT), measured in seconds, to the normal Prothrombin Time (PT). Then raising this ratio to the power of the ISI (International Sensitivity Index). As a formula it looks like this: INR = (PT patient/PT normal)ISI PT patient = patient's measured Prothrombin Time (in seconds) PT normal = laboratory value for normal patients (in seconds) ISI = International Sensitivity Index The patients INR should be between 2.0-3.0 if they are on Warfarin for treatment of Deep Venous Thrombosis, Pulmonary Embolism or Atrial Fibrillation for the duration of treatment, which can range anywhere from 3 months to lifetime. Patients with mechanical heart valves will require that their INR be in the range of 2.5-3.5.
Просмотров: 36503 CanadaQBank
How to Use CoaguChek XS for INR Monitoring
 
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This is a great video to show all our customers of how to use the CoaguChek for INR monitoring. Any questions please contact info@advancediagnostics.co.nz
Просмотров: 138504 AdvanceDiagnosticsNZ
Clotting Factors  - Coagulation Cascade
 
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Help us Improve our content Support us on Patreon : https://www.patreon.com/medsimplfied Clotting Factors - Coagulation Cascade 2ND VIDEO - https://www.youtube.com/watch?v=LVYmV5mK6QI LIKE US ON FACEBOOK : fb.me/Medsimplified BUY USING AFFILIATE LINKS : AMAZON US--- https://goo.gl/XSJtTx AMAZON India http://goo.gl/QsUhku FLIPKART http://fkrt.it/Wiv8RNNNNN FLIPKART MOBILE APP http://fkrt.it/Wiv8RNNNNN There are 13 blood clotting proteins (coagulation factor) found in the blood. They are designated by Roman Numerals I through XIII. When a blood vessel is damaged, these clotting factors are switched on in a certain order (Blood Clotting Cascade) [link to coagulation page] and work to form a clot. Specifically, these 13 factors normally combine to a clot. If one factor is missing or present at low levels, this causes hemophilia and other blood clotting problems and a proper clot will not form. The two most common factor deficiencies are: factor 8 (or factor VIII) deficiency and factor 9 (or factor IX) deficiency. The most common, affecting 80% of the hemophilia population - those with hemophilia A - is factor VIII. When these blood clotting proteins aren't present is not easily stopped. This factor is so important to the treatment of hemophilia, that instead of saying they have "hemophilia A or B," most people say they are "Factor VIII" or "Factor IX" to identify their condition. Various substances are required for the proper functioning of the coagulation cascade: Calcium and phospholipid (a platelet membrane constituent) are required for the tenase and prothrombinase complexes to function. Calcium mediates the binding of the complexes via the terminal gamma-carboxy residues on FXa and FIXa to the phospholipid surfaces expressed by platelets, as well as procoagulant microparticles or microvesicles shed from them. Calcium is also required at other points in the coagulation cascade. Vitamin K is an essential factor to a hepatic gamma-glutamyl carboxylase that adds a carboxyl group to glutamic acid residues on factors II, VII, IX and X, as well as Protein S, Protein C and Protein Z. In adding the gamma-carboxyl group to glutamate residues on the immature clotting factors Vitamin K is itself oxidized. Another enzyme, Vitamin K epoxide reductase, (VKORC) reduces vitamin K back to its active form. Vitamin K epoxide reductase is pharmacologically important as a target of anticoagulant drugs warfarin and related coumarins such as acenocoumarol, phenprocoumon, and dicumarol. These drugs create a deficiency of reduced vitamin K by blocking VKORC, thereby inhibiting maturation of clotting factors. Vitamin K deficiency from other causes (e.g., in malabsorption) or impaired vitamin K metabolism in disease (e.g., in liver failure) lead to the formation of PIVKAs (proteins formed in vitamin K absence) which are partially or totally non-gamma carboxylated, affecting the coagulation factors' ability to bind to phospholipid. Tissue factor pathway (extrinsic)[edit] The main role of the tissue factor pathway is to generate a "thrombin burst", a process by which thrombin, the most important constituent of the coagulation cascade in terms of its feedback activation roles, is released very rapidly. FVIIa circulates in a higher amount than any other activated coagulation factor. The process includes the following steps:[7] Following damage to the blood vessel, FVII leaves the circulation and comes into contact with tissue factor (TF) expressed on tissue-factor-bearing cells (stromal fibroblasts and leukocytes), forming an activated complex (TF-FVIIa). TF-FVIIa activates FIX and FX. FVII is itself activated by thrombin, FXIa, FXII and FXa. The activation of FX (to form FXa) by TF-FVIIa is almost immediately inhibited by tissue factor pathway inhibitor (TFPI). FXa and its co-factor FVa form the prothrombinase complex, which activates prothrombin to thrombin. Thrombin then activates other components of the coagulation cascade, including FV and FVIII (which activates FXI, which, in turn, activates FIX), and activates and releases FVIII from being bound wATCH AGAIN https://www.youtube.com/watch?v=R1wYycfGFjU SUBSCRIBE https://www.youtube.com/channel/UCOmrniWfKi-uCD6Oh6fqhgw -~-~~-~~~-~~-~- CHECK OUT NEWEST VIDEO: "Nucleic acids - DNA and RNA structure " https://www.youtube.com/watch?v=0lZRAShqft0 -~-~~-~~~-~~-~-
Просмотров: 142013 MEDSimplified
Warfarin and INR testing: when, how & why?
 
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Specialist Dr John Worthington explains what INR tests are for, the target result, and when you might need to have them more frequently. He also talks about why being able to measure warfarin's effect with an INR test is an advantage. Find out more about warfarin at http://www.nps.org.au/warfarin
Просмотров: 17371 NPS MedicineWise
Pharmacology - ANTICOAGULANTS & ANTIPLATELET DRUGS (MADE EASY)
 
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Support us on Patreon: https://www.patreon.com/speedpharmacology Follow us on Facebook: https://www.facebook.com/SpeedPharmacology/ Get Speed Pharmacology Merch Here: https://teespring.com/stores/speed-pharmacology **************************************************************************************************** Topics covered include: basic pathophysiology of blood clot formation, platelet function; activation, aggregation, cross-linking, ADP receptors, glycoprotein IIb/IIIa receptors, cyclooxygenase-1 enzyme, fibrinogen, fibrin mesh, coagulation cascade; intrinsic & extrinsic pathways, clotting factors, antithrombin, heparin induced thrombocytopenia, INR, plasmin, plasminogen. Mechanism of action of platelet inhibitors, anticoagulants, thrombolytic agents, drugs used for treatment of bleeding. Drugs mentioned include; Aspirin, Clopidogrel, Ticagrelor, Ticlopidine, Prasugrel, Abciximab, Eptifibatide, Tirofiban, Heparin, low molecular weight heparins; Enoxaparin, Dalteparin, Protamine sulfate, Apixaban, Rivaroxaban, Univalent & Bivalent direct thrombin inhibitors; Argatroban, Dabigatran, Bivalirudin, Desirudin, Warfarin, Vitamin K, Alteplase, Reteplase, Tenecteplase, Urokinase, Streptokinase, Aminocaproic acid, Tranexamic acid.
Просмотров: 224846 Speed Pharmacology
Factor V Leiden: This Inherited Clotting Problem can kill you before you know you have it.
 
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Please watch: "(905) Mitochondria: Central Role in Aging 2018 (and how to reverse it)( warning - geeky)- FORD BREWER " https://www.youtube.com/watch?v=mTKM0Lh078A --~-- Join the PrevMed Community: https://mailchi.mp/1224fb9e00e7/prevmed_community ford brewer md mph PrevMedHeartRisk.com Factor V Leiden is the most common genetic clotting disorder among ethnic Europeans. It's named after the Dutch city Leiden, where it was first described. It is a cofactor with factor Xa, resulting in increasing the cascade to end up with increased polymerization of fibrin, forming clots too quickly. Doctors diagnose it by having a high index for suspicion for anyone with a clot. Venous clots or pulmonary embolus among ethnic Europeans can show over 30% probability of having this. If a patient has a clot, docs should check the clotting time. If positive, they should do the genetic test. Treatment involves special consideration for flying, surgery, oral contraceptives and pregnancy. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
Просмотров: 2769 Ford Brewer MD MPH
Home Warfarin (INR) Testing
 
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A short video demonstrating home INR testing using a Roche Coaguchek XS
Просмотров: 1838 Jim A
Novacare Pharmacy INR / Coumadin Testing
 
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Novacare Pharmacy has an easier, quicker and less painful way to get your Coumadin blood tests.
Просмотров: 2432 NovacarePharmacy
NCLEX Question: Bridging Coumadin until INR Therapeutic
 
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EmpoweRN.com This is a video nursing exam or NCLEX style question going over the medication coumadin. I have placed this video in the format that helped me pass nursing school with honors and the NCLEX examination on the first attempt in 75 questions. I know it may seem unreasonably long… but it is not. Take your time, follow the instructions and read each word slowly. Lets get started ;) Question Number 1 of 4: Title: NCLEX Question: Bridging Coumadin until INR Therapeutic A client was admitted for the treatment of deep vein thrombosis. The attending physician ordered the following medication: Heparin 5,000 units S.Q. every 8 hours, Warfarin (Coumadin) 5 mg P.O, start today. The nurse’s best action would be: A. Administer neither the heparin nor coumadin B. Administer both heparin and coumadin C. Administer only prescribed coumadin D. Administer only prescribed heparin Correct Answer: B – It takes several days for the Coumadin to reach its maximum anticoagulant effect, and heparin and Coumadin therapy sometimes overlap. For more questions & for the main video visit here: http://wp.me/s4CVjD-coumadin Warfarin aka Coumadin is the most used oral anticoagulant in the world and has been used for more than 50 years for therapy in prevention of thrombus formation and subsequent thromboembolic events. Anticoagulants are blood thinners which prevent formation of blood clots as well as prevent existent blood clots from increasing in size. Blood clots can hinder blood circulation and lead to serious medical conditions, like stroke, heart attack and pulmonary embolism. Thus warfarin is helpful in treating and preventing vein and artery blockage, stroke and heart attack. Mechanism of Action Warfarin slows down the formation of blood clots within 24 hours, but the complete effect takes place between 72 to 96 hours after taking the medication. Blood clot formation is a complicated process which requires certain compounds known as coagulating factors to be present. These coagulating factors are produced by the liver. In the presence of sufficient vitamin K. Warfarin acts by inhibiting the presence of vitamin K and this inhibits the formation of coagulating factors. Substances that require vitamin K for their formation are: the anticoagulant proteins C and S and factors II, VII, IX, and X. Therefore, medications like warfarin block coagulating factors and disturb the process of clot formation. Thus slowing down blood clot formation. In the case of blood clots that are already formed, warfarin stops the clot from getting bigger. It also prevents breakage of the clot which can be otherwise dangerous if it travels in the bloodstream and blocks blood vessels. Warfarin cannot destroy or dissolve a blood clot that is already there. But the blood clot itself may slowly dissolve with time. Nor can Warfarin reverse ischemic tissue damage either, but, may help avoid secondary thromboembolic complications that can be dangerous and even fatal.
Просмотров: 5747 EmpoweRN
How to check your INR with the Coagucheck machine
 
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#TheAbbyNormalLife
Просмотров: 10732 Abby Normal
Warfarin: Uses, Precautions, Blood tests by Dr Sameer Gupta (Cardiologist)
 
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Dr. Sameer Gupta (cardiologist) talks about a blood thinner known as warfarin. It is used for prevention of blood clots. It interacts with food and several other medicines. When taking warfarin, you should get your PT/INR test done regularly. This test measures how thick or thin your blood is, and checks if the medicine is working effectively. This information is a general guideline and is not meant to replace physician orders. Patients should use this medication as advised by their prescriber. For further information visit: https://www.1mg.com/generics/warfarin-210912?q=Warfarin
Просмотров: 71 1mg
Warfarin: Anticoagulant Drug to Treat Blood Clots and to Prevent Stroke
 
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Source: https://www.medindia.net/ For more information, Please visit : https://www.medindia.net/doctors/drug_information/warfarin.htm Warfarin is an oral anticoagulant or a blood thinner which is used to treat blood clots in deep vein thrombosis, pulmonary embolism, stroke prevention, heart attack, replacement of Heart Valves, and thrombophilia (clotting disorder). Warfarin is popularly available as Coumadin, Marevan, Jantoven, Warf, Sofarin, Uniwarfin, and Warfen. Medical attention is needed immediately if any accident or fall occurs. Warfarin therapy should be stopped in case of dental surgery Please help us translate this video in your language to make it more universal and useful to your language community. We present useful and essential information on the drug warfarin that everyone should know when taking this drug. Use Medindia drug information to check drug to drug interactions if you are taking more than one drug. Share your comments if you are experiencing any unusual side effects.
Просмотров: 1360 Medindia Videos
Coagulation Cascade SIMPLEST EXPLANATION !! The Extrinsic and Intrinsic Pathway of HEMOSTASIS
 
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Help us Improve our content Support us on Patreon : https://www.patreon.com/medsimplfied Coagulation Cascade SIMPLEST EXPLANATION Follow on FaceBook : https://goo.gl/syceUO Coagulation (also known as clotting) is the process by which blood changes from a liquid to a gel, forming a clot. It potentially results in hemostasis, the cessation of blood loss from a damaged vessel, followed by repair. The mechanism of coagulation involves activation, adhesion, and aggregation of platelets along with deposition and maturation of fibrin. Disorders of coagulation are disease states which can result in bleeding (hemorrhage or bruising) or obstructive clotting (thrombosis).[1] LIKE ON FACEBOOK : The coagulation factors are generally serine proteases (enzymes), which act by cleaving downstream proteins. There are some exceptions. For example, FVIII and FV are glycoproteins, and Factor XIII is a transglutaminase.[7] The coagulation factors circulate as inactive zymogens. The coagulation cascade is therefore classically divided into three pathways. The tissue factor and contact activation pathways both activate the "final common pathway" of factor X, thrombin and fibrin Tissue factor pathway (extrinsic)[edit] The main role of the tissue factor pathway is to generate a "thrombin burst", a process by which thrombin, the most important constituent of the coagulation cascade in terms of its feedback activation roles, is released very rapidly. FVIIa circulates in a higher amount than any other activated coagulation factor. The process includes the following steps:[7] Following damage to the blood vessel, FVII leaves the circulation and comes into contact with tissue factor (TF) expressed on tissue-factor-bearing cells (stromal fibroblasts and leukocytes), forming an activated complex (TF-FVIIa). TF-FVIIa activates FIX and FX. FVII is itself activated by thrombin, FXIa, FXII and FXa. The activation of FX (to form FXa) by TF-FVIIa is almost immediately inhibited by tissue factor pathway inhibitor (TFPI). FXa and its co-factor FVa form the prothrombinase complex, which activates prothrombin to thrombin. Thrombin then activates other components of the coagulation cascade, including FV and FVIII (which activates FXI, which, in turn, activates FIX), and activates and releases FVIII from being bound to vWF. FVIIIa is the co-factor of FIXa, and together they form the "tenase" complex, which activates FX; and so the cycle continues. ("Tenase" is a contraction of "ten" and the suffix "-ase" used for enzymes.) Contact activation pathway (intrinsic)[edit] The contact activation pathway begins with formation of the primary complex on collagen by high-molecular-weight kininogen (HMWK), prekallikrein, and FXII (Hageman factor). Prekallikrein is converted to kallikrein and FXII becomes FXIIa. FXIIa converts FXI into FXIa. Factor XIa activates FIX, which with its co-factor FVIIIa form the tenase complex, which activates FX to FXa. The minor role that the contact activation pathway has in initiating clot formation can be illustrated by the fact that patients with severe deficiencies of FXII, HMWK, and prekallikrein do not have a bleeding disorder. Instead, contact activation system seems to be more involved in inflammation.[7] Final common pathway[edit] The division of coagulation in two pathways is mainly artificial, it originates from laboratory tests in which clotting times were measured after the clotting was initiated by glass (intrinsic pathway) or by thromboplastin (a mix of tissue factor and phospholipids). In fact thrombin is present from the very beginning, already when platelets are making the plug. Thrombin has a large array of functions, not only the conversion of fibrinogen to fibrin, the building block of a hemostatic plug. In addition, it is the most important platelet activator and on top of that it activates Factors VIII and V and their inhibitor protein C (in the presence of thrombomodulin), and it activates Factor XIII, which forms covalent bonds that crosslink the fibrin polymers that form from activated monomers.[7] Following activation by the contact factor or tissue factor pathways, the coagulation cascade is maintained in a prothrombotic state by the continued activation of FVIII and FIX to form the tenase complex, until it is down-regulated by the anticoagulant pathways SUBSCRIBE https://www.youtube.com/channel/UCOmrniWfKi-uCD6Oh6fqhgw WATCH AGAIN https://www.youtube.com/watch?v=LVYmV5mK6QI -~-~~-~~~-~~-~- CHECK OUT NEWEST VIDEO: "Nucleic acids - DNA and RNA structure " https://www.youtube.com/watch?v=0lZRAShqft0 -~-~~-~~~-~~-~-
Просмотров: 334526 MEDSimplified
Warfarin and INR testing
 
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Libby talks about how she has an INR test, gets the results and then finds out if she needs to adjust her dose of warfarin. Find out more about warfarin at http://www.nps.org.au/warfarin
Просмотров: 2590 NPS MedicineWise
Warfarin Management
 
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Department of Family Medicine professor Melissa Stiles, MD discusses Warfarin management with Brian Kaske, DPH-4, a Pharm-D student at the University of Wisconsin Madison.
John's story: managing warfarin safely
 
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After a heart attack, John Smith was prescribed warfarin to stop harmful blood clots forming. But he wasn't confident with the knowledge he had about managing his medication and didn't realise the importance of going for regular blood tests. An important part of John's treatment was the international normalised ratio (INR) test, to check the effect of the warfarin on his blood's clotting time. John's INR test showed a result of 11; his normal ideal result was around 3. John ended up in intensive care with dangerously low oxygen and blood pressure, and a life-threatening pulmonary haemmorhage. John made a full recovery and now feels in control of his warfarin programme.
Просмотров: 351 HQSCNZ
How can you tell if You Have BLOOD CLOTS? SIMPLE Blood Clots PREVENTION By Know Signs and Symptoms
 
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Blood Clots: Signs, Symptoms, Risks and More. Symptoms will depend on the size of the clot. That's why you might not have any symptoms, or you might only have minor calf swelling without a lot of pain. If the clot is large, your entire leg could become swollen with extensive pain. It's not common to have blood clots in both legs or arms at the same time. What are the first signs of Deep vein thrombosis - DVT? Symptoms of DVT pain, swelling and tenderness in one of your legs (usually your calf) a heavy ache in the affected area. warm skin in the area of the clot. red skin, particularly at the back of your leg below the knee. Do blood clots go away on their own? The body has a natural way of healing itself, and eventually the clot disappears on its own. If a pulmonary embolism is life-threatening, your doctor can administer a thrombolytic, an agent that will dissolve the clot quickly. How do you check for blood clots? The most common tests used to diagnose DVT are: Ultrasound. This is the most common test for diagnosing deep vein blood clots. ... A D-dimer test. ... Venography. ... Other less common tests used to diagnose DVT include magnetic resonance imaging (MRI) and computed tomography (CT) scanning. What are the warning signs of deep vein thrombosis? The warning signs and symptoms of a pulmonary embolism include: Sudden shortness of breath. Chest pain or discomfort that worsens when you take a deep breath or when you cough. Feeling lightheaded or dizzy, or fainting. Rapid pulse. Coughing up blood. What foods help get rid of blood clots? 8 Diet Tips to Prevent Deep Vein Thrombosis 1 / 8 Certain Food and Drink Choices Lower Risk of Blood Clots. ... 2 / 8 Drink Plenty of Water. ... 3 / 8 Sip Red Wine or Grape Juice. ... 4 / 8 Go for Garlic. ... 5 / 8 Enjoy Virgin Olive Oil. ... 6 / 8 Eat a Kiwi. ... 7 / 8 Make Leafy Greens a Routine. ... 8 / 8 Limit Animal Fats in Your Diet. #BloodClots #HeartAttackPrevention #BloodVessels
Просмотров: 1721 Healthy Eating Tips
Can You Take Potassium With Warfarin?
 
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Always if you have questions about the drugs are taking, check with your doctor, nurse, or pharmacist 1 mar 2014 in addition to high potassium, they offer a good source of fiber, which can help normal digestion. Pdf url? Q webcache. However, this does not necessarily mean no interactions exist. Vitamin k and warfarin page 1 coumadin uses, side effects, interactions canada. Coumadin) and vitamin k. Vitamin k and potassium daily intake for coumadin (warfarin) users diclofenac oral warfarin drug interactions rxlistuniversity of maryland (coumadin jantoven) side effects, dosage. Important information to know when you are taking warfarin. Losartan does not affect the pharmacokinetics and pharmacodynamics of warfarin. Warfarin (coumadin ) interactions with food ihtclosartan does not affect the pharmacokinetics and ncbi. Depeter zimmerman drclindamycin drug interaction with warfarin leading to inr (coumadin) what you should know potassium and coumadin chloride interactions drugs 'potassium warfarin' heart disease community support group (k) in blood health library article blue shield of vitamin k (k ) kidney diet tips davita pulse. What you should know about your diet and warfarin impact team in order to make sure the amount of you're taking is right for you, are high protein diets can also affect way works body increasing vitamin k intake while on coumadin will work against action when start coumadin, eat usual drug nutrient interaction task force. Warfarin, warfarin new zealand raffelmedia. The food you eat can affect how j clin pharmacol. Kong an(1), tomasko l, traditionally, patients taking warfarin have been advised to avoid vitamin k prevent excess too many green vegetables at one meal can upset one's inr stop of the medications, from cigarettes, or illegal drugs affect action i eat garlic on meds safe take nps dose tracker much in system potassium interaction with you nyquil decaf coffee and [pdf] clindamycin drug leading db. 1995 oct;35(10) 1008 15. 10 apr 2014 clindamycin drug interaction with warfarin leading to international acenocoumarol, fluindione, phenprocoumon, warfarin, warfarin potassium, warfarin sodium, warfarin however it is still likely to have effects on the gut flora that could section 2 before you take clindamycin taking other medicines so, what do you need to know about vitamin k and warfarin? First, you should know that your liver uses vitamin k to make blood clotting proteins. What you should know about your diet and warfarin impact team. Condition) inr coumadin level is to basically keep one's diet (food, which includes those here you'll find a comprehensive selection of health information, such as but if your potassium levels get low, it can take some time for body start aspirin, warfarin (such coumadin), and other blood thinning medicines make 10 jan 2017 patients who certain medications are told limit foods does not thin the blood, rather causes vitamin k intake from you eat consistent day 30 aug 2012 trying figure out
Просмотров: 264 Wen Wen
How Do I Prevent Blood Clots?
 
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Blood clots (or Venous Thromboembolism [VTE]), comprised of deep vein thrombosis (DVT) and pulmonary embolism (PE), claim more than 100,000 lives every year in the United States. Yet as serious a health issue as blood clots are, studies have repeatedly shown that patients at risk for VTE often don’t receive treatments known to help prevent them. Patient refusal of medications to prevent VTE remains a critically important issue. The Johns Hopkins VTE Collaborative is spearheading efforts to build patient-centered interventions aimed to improve patient adherence with venous thromboembolism (VTE) prophylaxis. We have created this patient education video with funding from the Patient- Centered Outcomes Research Institute (PCORI) for a project titled “Preventing Venous Thromboembolism: Empowering and Enabling Patient-Centered Care via Health Information Technology” (Program Award CE-12-11-4489). More information can be found at: http://www.pcori.org/research-in-action/improving-patient-nurse-communication-prevent-life-threatening-complication AND http://www.hopkinsmedicine.org/armstrong/bloodclots
Просмотров: 42636 Johns Hopkins Medicine
What is ACTIVATED CLOTTING TIME? What does ACTIVATED CLOTTING TIME mean?
 
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What is ACTIVATED CLOTTING TIME? What does ACTIVATED CLOTTING TIME mean? ACTIVATED CLOTTING TIME meaning - ACTIVATED CLOTTING TIME definition - ACTIVATED CLOTTING TIME explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/by-sa/3.0/ license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6UuCPh7GrXznZi0Hz2YQnQ Activated clotting time (ACT), also known as activated coagulation time is a test of coagulation. The ACT test can be used to monitor anticoagulation effects, such as high-dose heparin before, during, and shortly after procedures that require intense anticoagulant administration, such as cardiac bypass, cardiac angioplasty, thrombolysis, extra-corporeal membrane oxygenation (ECMO) and continuous dialysis. It measures the seconds needed for whole blood to clot upon exposure to an activator of an intrinsic pathway by the addition of factor XII activators. The clotting time is based on a relative scale and requires a baseline value for a point of comparison due to inconsistencies between the source and formulation of the activator being used. It is usually ordered in situations where the partial thromboplastin time (PTT) test may take an excessive amount of time to process or is not clinically useful. Prolongation of the ACT may indicate a deficiency in coagulation factors, thrombocytopenia or platelet dysfunction. Clotting time measurements can be affected by other drugs that such as Warfarin, aprotinin and GPIIb/IIIa inhibitors and may also be affected by physical perturbations to the body such as hypothermia, hypervolemia or hypovolemia.
Просмотров: 593 The Audiopedia
INR Testing at Home Training Video - Life After Stroke
 
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A Patient who has been on Coumadin since the very beginning of 2010 is being trained on his second INR machine. He and his wife were trained on the first machine back in 2010 so that they would not have to make weekly trips to his physician or to an INR clinic to have his blood tested. They were trained and had to undergo several days of training to be able to do this at home. This video is them being trained for a second new machine which required much less blood and is much more streamlined than the first machine they had received 3 years ago. They only had to be shown once how to use this as they have been using the other machine for years and the testing procedure is very similar. Please note that you must be trained to do this before physician and insurance companies will allow you to do this on your own at home. 2013 Copyright Donna Nolan-Wilson - ITS Entertainment
Просмотров: 24993 Donna Nolan-Wilson
NCLEX Question: Therapeutic INR
 
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EmpoweRN.com This is a video nursing exam or NCLEX style question going over the medication coumadin. I have placed this video in the format that helped me pass nursing school with honors and the NCLEX examination on the first attempt in 75 questions. I know it may seem unreasonably long… but it is not. Take your time, follow the instructions and read each word slowly. Lets get started ;) Title: NCLEX Question: Therapeutic INR A client admitted with new onset of atrial fibrillation has been prescribed with warfarin (Coumadin) to help prevent thromboemboli. Which of the following International Normalized Ratio (INR) results indicates that the medication has reach the therapeutic level? A. 1 to 2.5 B. 2 to 4 C. 2.5 to 3.5 D. 2 to 3 Correct Answer: D – In a client with atrial fibrillation, warfarin reaches its therapeutic level when INR results is 2 to 3. A range higher for a client on warfarin increases the hemorrhage risk. For more questions & for the main video visit here: http://wp.me/s4CVjD-coumadin Warfarin aka Coumadin is the most used oral anticoagulant in the world and has been used for more than 50 years for therapy in prevention of thrombus formation and subsequent thromboembolic events. Anticoagulants are blood thinners which prevent formation of blood clots as well as prevent existent blood clots from increasing in size. Blood clots can hinder blood circulation and lead to serious medical conditions, like stroke, heart attack and pulmonary embolism. Thus warfarin is helpful in treating and preventing vein and artery blockage, stroke and heart attack. Mechanism of Action Warfarin slows down the formation of blood clots within 24 hours, but the complete effect takes place between 72 to 96 hours after taking the medication. Blood clot formation is a complicated process which requires certain compounds known as coagulating factors to be present. These coagulating factors are produced by the liver. In the presence of sufficient vitamin K. Warfarin acts by inhibiting the presence of vitamin K and this inhibits the formation of coagulating factors. Substances that require vitamin K for their formation are: the anticoagulant proteins C and S and factors II, VII, IX, and X. Therefore, medications like warfarin block coagulating factors and disturb the process of clot formation. Thus slowing down blood clot formation. In the case of blood clots that are already formed, warfarin stops the clot from getting bigger. It also prevents breakage of the clot which can be otherwise dangerous if it travels in the bloodstream and blocks blood vessels. Warfarin cannot destroy or dissolve a blood clot that is already there. But the blood clot itself may slowly dissolve with time. Nor can Warfarin reverse ischemic tissue damage either, but, may help avoid secondary thromboembolic complications that can be dangerous and even fatal.
Просмотров: 5119 EmpoweRN
Top NCLEX Meds Tips for Coumadin / Warfarin
 
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Get the Top Meds on NCLEX RN nursing exam. http://www.amazon.com/dp/B00EMLFF0S/ref=rdr_kindle_ext_tmb www.nclexpreceptor.com Get NCLEX and Nursing tips @ https://www.facebook.com/nclex.preceptor and http://www.pinterest.com/nclexp/ Author is Registered Nurse Jonathan Small @ www.nclexpreceptor.com Description and Brand Names Drug information provided by: Micromedex US Brand Name Coumadin Jantoven Descriptions Warfarin is an anticoagulant. It is used to decrease the clotting ability of the blood and to help prevent harmful clots from forming in the blood vessels. It is often used to prevent or treat deep venous thrombosis, a condition in which harmful blood clots form in the blood vessels of the legs. These blood clots can travel to the lungs and cause a condition called pulmonary embolism. Warfarin is also used to prevent or treat blood clots that are caused by certain heart conditions or open-heart surgery. It may be used after a heart attack to prevent blood clots from forming. Although it will not dissolve blood clots that have already formed, warfarin may keep the clots from becoming larger and causing more serious problems. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms: Tablet NCLEX Nursing Precautions Drug information provided by: Micromedex It is very important that your doctor check your progress at regular visits to see if the medicine is working properly. Blood tests, such as INR, are needed to check for proper dosage and unwanted side effects. Be sure to keep all appointments. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away. Do not stop taking any of your medicines or start any new prescription or over-the-counter (OTC) medicines unless they have been discussed with your doctor. Keep a list of your medicines with you at all times. This includes prescription medicines, nonprescription (over-the-counter [OTC]) medicines, and herbal or vitamin supplements. Do not take other medicines that also contain warfarin. Using too much warfarin may cause serious bleeding problems. Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests. Check with your doctor immediately if you start to have diarrhea, fever, or any signs of infection. This medicine may cause skin necrosis or gangrene. Call your doctor right away if you have a pain, color change, or temperature change to any area of your body. Also, call your doctor right away if you have a pain in your toes and they look purple or dark in color. These could be signs of a serious medical problem. This medicine may increase your chance of bleeding. Check with your doctor right away if you notice any unusual bleeding or bruising; black, tarry stools; blood in the urine or stools; or pinpoint red spots on your skin. Avoid picking your nose. If you need to blow your nose, blow it gently. Be careful when using a regular toothbrush, dental floss, or toothpick. Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your medical doctor before having any dental work done. Be careful not to cut yourself when you are using sharp objects, such as a safety razor or fingernail or toenail cutters. Avoid contact sports or other situations where bruising or injury could occur. It is recommended that you carry identification that says you are using warfarin. If you have any questions about what kind of identification to carry, check with your doctor.
Просмотров: 1881 Jonathan Small
Partial Thromboplastin Time Nursing Considerations, Normal Range, Nursing Care, Lab Values Nursing
 
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Grab our free cheatsheet covering the 63 Must Know Labs for nurses right here: http://www.NRSNG.com/labs Listen to all the episodes at: https://www.nrsng.com/labspodcast/ View this post on our blog: https://www.nrsng.com/partial-thromboplastin-time/ Partial Thromboplastin Time (PTT) Normal: 25 - 35 seconds Indications:  Detection of coagulation disorders  Evaluate response to Heparin (PT for Coumadin)  Preoperative assessment Description: Partial Thromboplastin Time (PTT) evaluates the function of factors I, II, V, VIII, IX, X, XI, and XII. PTT represents the amount of time required for a fibrin clot to form. Monitors therapeutic ranges for people taking Heparin. What would cause increased levels?  Disseminated Intravascular Coagulation (DIC)  Clotting Factor Deficiencies: o Hypofibrinogenemia o Von Willebrand Disease o Hemophillia  Liver disease: o Cirrhosis  Vitamin K deficiency  Polycythemia  Dialysis What would cause decreased levels?  N/A
Просмотров: 7168 NRSNG
INR lab test (lab values interpretation and risk factors)
 
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INR lab test is strongly indicated to assess warfarin dosage and blood clotting capacity. Here you can find all you have to know about INR lab test and your INR lab values interpretation: MedSipo - Medical Tests Interpreter - http://medsipo.com/details/inr-warfarin-testing Song credit: Wounded Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/
Просмотров: 10490 Medsipo com
Blood Clots,Recognize,Symptoms, What to Expect-Clip 1
 
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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.
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INR Self-Monitoring Demo
 
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In this video I go through the entire process, twice, to check the Pro Time levels in my blood. I am required to do this due to my mechanical heart valve, which can cause blood clots. On Feb 3, 2014 I went through open heart surgery to replace an aortic bicuspid valve, which was a congenital heart defect, with a St. Jude's Mechanical Heart Valve. Follow me on facebook @ http://www.facebook.com/menotbrainwashed
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6 Natural Blood Thinners
 
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6 Natural Blood Thinners 1. Garlic Aside from giving your grandmother’s spaghetti sauce the “kick” it needs, garlic can also be good for your health. For one, it’s capable of limiting the collection of platelets, one of the primary steps in the formation of a blood clot. In small amounts, it’s unclear if garlic actually has the potential to prevent a devastating heart attack or stroke caused by a blood clot. However, in much larger amounts — such as when taken in supplement form — garlic may play a role in helping limit platelet aggregation. In short, if you’re in a position where blood clots may present a health problem, it’s a good idea to work more garlic into your diet. 2. Fish Oil There’s a good chance that, by now, you’ve heard about the health benefits of fish oil, and specifically that containing omega-3 fatty acids. These acids, which can be found in many types of fish, such as salmon, have been shown to help boost brain functionality and work against serious health problems, like stroke. But omega-3 fatty acids can also help thin the blood by preventing the formation of substances that encourage platelet formation. For people who need to be aware of the threat posed by blood clots, this makes fish oil a valuable contribution to their diet. Should you not be a fan of the taste of fish, omega-3 fatty acids can be found in supplement form. 3. Vitamin E When you were a kid, chances are your parents spent much of their time encouraging you to get all your vitamins, either through a health diet or physically taking a multivitamin. But they may not have explained that each type of vitamin is different. Take vitamin E for example. Available in a wide range of foods, including almonds, whole grains, sunflowers, eggs, seeds, and nuts, it’s been shown to help discourage the formation of blood clots and limit the chances of heart attack or stroke. Not a big fan of eggs, nuts, seeds or whole grains? Like most vitamins, vitamin E is widely available in supplement form. 4. Herbs with Coumarin There are literally hundreds of thousands of medications available to help prevent or treat serious health problems, like heart attack or stroke. But do you know where many of these medications come from? You may be surprised to hear that some, such as the medication warfarin — which is designed to help prevent blood clots — are made from easily acquired herbs. In fact, warfarin contains a compound known coumarin, which can be found in plants like angelica root, arnica flower, anise, chamomile, fenugreek, licorice root, parsley and red clover. That said, consuming these herbs may be a problem if you’re already on a blood-thinning medication like warfarin, so be sure to talk to your doctor before adding them to your diet. 5. Ginger You’ve probably heard that ginger can help reduce digestive inflammation and aid someone in overcoming mild upset stomach or indigestion, but did you know it can also help thin the blood? That’s because ginger contains salicylate, a type of acid that’s found in a few types of plants. In fact, salicylic acid is the technical name for aspirin, which can help reduce inflammation in the human body and may event assist in preventing a stroke. Ginger is readily available in root, spice or tea forms, so it’s easy to make it a regular part of your diet. Just be sure to check with your doctor to ensure it doesn’t present problems for any medications you may have been prescribed. 6. Avocado Avocado can help prevent blood clots in two ways: first, it contains omega-3 fatty acids, which have been shown to limit the formation of platelets and the development of blood clots. Second, like ginger it contains salicylate, which has also been shown to limit the chances of blood clots from forming. Avocadoes are easy to find at most grocery stores and make an excellent addition to just about any dish, from guacamole to sandwiches and salads. Just be sure to check with your family doctor to ensure it won’t interact negatively with any blood-thinning medications you may have been prescribed.
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What is INR?
 
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PT/INR self-testing: "I feel secure on vacation"
 
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Having a CoaguChek INR self-tester allows anticoagulation patient, Erika, to travel off the beaten path and still feel secure.
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Ebersole Dr. Visit Orangeburg SC
 
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Went to my doctor for blood check for my coumadin dosing for my blood clot. He walked out in to the waiting room, saw a lady from his church, and the whole room broke out singing....interesting...I wish he could see me on time though......
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CBD Oil And Blood Thinners CBD and Effects
 
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CBD Oil And Blood Thinners - http://www.PremCBD.com High quality CBD companies, products, coupons and CBD giveaways! Want to know more about CBD Oil And Blood Thinners? Check out the link above. Cannabidiol (CBD) is among over 80 chemical compounds found in the cannabis plant called cannabinoids. Cannabinoids bind to receptors in the brain and body and are in charge of the CBD Oil And Blood Thinners impacts of cannabis, like feeling high, unwinded, or blissful. Tetrahydrocannabinol (THC) is one of the most commonly researched cannabinoid, known for its psychoactive effects and also the factor you really feel high. Nonetheless, demand is enhancing for CBD after it was promoted in 2013 by the CNN unique, Weed. In Weed, five-year-old Charlotte Figi treats her serious type of epilepsy, Dravet Disorder with CBD, minimizing her seizures from 300 a week to simply one a day. Unlike THC, CBD does not produce a high and also it also combats the impacts of THC. So just what is this miracle substance and also how does CBD Oil And Blood Thinners work? Countless men and women who suffer from PTSD have actually discovered relief and clearness with CBD items. CBD's ability to naturally boost the rate of serotonin manufacturing and all at once bind with serotonin receptors bypasses the decreased visibility of cortisol. Of all of the problems of the brain that produce stress and anxiety- and also depression-related conditions, the bulk have completion result of minimized serotonin task; CBD has the ability to soothe much of these problems with near-pharmaceutical efficiency. CBD Oil And Blood Thinners also modulates the endocannabinoid system, to a minimal degree. Via retrograde signalling, or signalling backwards, the endocannabinoid system completes the favorable as well as negative feedback loopholes in much of our body's systems, consisting of the mind. Over excitement of adrenaline has the impact of increasing the endocannabinoid production in those neurons, which after that permits the positive boost in adrenaline production that creates hypersensitivity to adrenaline. It codes for an enzyme that breaks down endocannabinoids (eCBs) for the function of preventing the type of signalling that creates a synapse to be reinforced. This is very important since neurons are expected to develop prenatally, however not end up being reinforced or reinforced until details from the world could begin to promote them and also route their advancement so they could best function in the world. Researchers say CBD might help in CBD Oil And Blood Thinners numerous ways. First, it inhibits the CB1 receptor that endocannabinoids (eCBs) bind with, so even if there's way too many eCBs, they will not be able to have as much of an impact on support. Second of all, CBD binds to several healthy proteins that could be thought of as the circuit breaker of our hereditary code: they manage exactly what obtains switched on and just what does not. The exact procedure of this activity is not yet well recognized, yet management of CBD in rats demonstrated raised expression of this gene in cells that formerly just weren't expressing it whatsoever. CBD oil is a cannabis oil (whether stemmed from cannabis or commercial hemp, as words cannabis is the Latin genus name for both) that has significant quantities of cannabidiol (CBD) contained within it. Our CBD items and essences are originated from industrial hemp, so they could be taken into consideration CBD-rich hemp oil, hemp derived CBD oil, CBD-rich cannabis oil, or simply "hemp removes" given that they commonly have a lot more compared to just CBD. Once more, cannabis doesn't mean marijuana however is the category name and also basic umbrella term which all kinds of cannabis as well as hemp autumn under. The type of cannabis we utilize for our CBD and hemp essences is commercial hemp; we do not sell marijuana. CBD has remained in the news before, as a feasible therapy for epilepsy. Study is still in its early days. Researchers are examining how much CBD has the ability to reduce the variety of seizures in people with epilepsy, along with how safe it is. The American Epilepsy Culture specifies that cannabidiol research uses expect seizure problems, and that study is currently being conducted to much better understand safe usage. A study from 2016 collaborated with 214 people with epilepsy. The study individuals included dental dosages of 2 to 5mg of CBD per day to their existing anti-epilepsy drugs. The study's researchers kept track of the participants for 12 weeks, recording any adverse negative effects and checking on the regularity of their seizures. Overall, CBD Oil And Blood Thinners participants had 36.5 percent less seizures monthly. However, serious damaging impacts were tape-recorded in 12 percent of the participants. Understanding More About CBD Oil And Blood Thinners A number of CBD suppliers would not speak on the document for anxiety of inviting government
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INR & aPTT Module
 
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Quality Improvement Initiative @ London Health Sciences Center Emergency Department
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