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VIVA Perioperative anticoagulation
 
16:12
Просмотров: 1280 Ya Ruth Huo
Bridging Warfarin Patients for Elective Surgery
 
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From ISTH 2015, Alex Spyropolous, MD, FACP, FCCP, North Shore LIJ discusses the results of the Bridge study, which evaluated if bridging therapy is necessary for patients on chronic warfarin requiring necessary elective surgery, who have at least 1 stroke risk factor. The study found that bridging using LMWH at treatment doses leads to no significant reduction in post-procedural arterial thromboembolic events and has nearly a 3 fold increase in bleeding risk. This study simplifies the peri-procedural management of patients on warfarin therapy, as the risk outweighs any benefit.
Просмотров: 669 Thrombosis.TV
Surgery with a Prosthetic Valve: What About the Warfarin?
 
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The Consult Guys answer a true stumper. Watch video and take the CME quiz. http://bit.ly/1luqfgi.
Просмотров: 825 American College of Physicians
Dental Surgery in anticoagulated patients (Interview with Dr. Michael Wahl)
 
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In this interview with the first author of an article in the OOO article Dr. Patrick Wahl discusses the risk vs. benefits of taking a patient on anticoagulation therapy off of their medications before dental surgery. https://realworldendo.com/videos/stop-the-interruption-dental-surgery-in-anti-coagulated-patient-rwe-interview-with-dr-michael-wahl
Просмотров: 1274 Real World Endo
Do I need to stop taking warfarin before I have an operation?
 
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Specialist Dr John Worthington explains that many medical procedures don't require you to stop taking warfarin beforehand (e.g. dental procedures, skin cancer removal). If you do stop warfarin, another type of anticoagulant should be used. "The shorter the time without an anticoagulant, the safer you are" says Dr Worthington. Find out more about warfarin at http://www.nps.org.au/warfarin
Просмотров: 1172 NPS MedicineWise
What You Need to Know about Anticoagulant Therapy Video – Brigham and Women’s Hospital
 
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Gregory Piazza, MD, Division of Cardiovascular Medicine at Brigham and Women’s Hospital (BWH), discusses what patients need to know when taking anticoagulants or blood thinners. Anticoagulants or blood thinners are used to treat patients with a number of cardiovascular diseases. Most commonly, anticoagulants are used as atrial fibrillation treatment for irregular heart rhythm. Anticoagulants are also used to treat patients who have undergone heart valve repair and have mechanical heart valves. Anticoagulants are also used for patients who've experienced blood clots in either the veins or the arteries. In this video, Dr. Piazza discusses: • Types of anticoagulants including warfarin and novel oral anticoagulants (rivaroxaban, apixaban, edoxaban, and dabigatran) • Importance of medication adherence while taking anticoagulants • Laboratory monitoring of the International Normalized Ratio • Side effects of warfarin and novel oral anticoagulants (rivaroxaban, apixaban, edoxaban, and dabigatran) • Drug and food interactions associated with anticoagulant therapy • Activity restrictions and anticoagulant therapy • Discontinuing anticoagulant therapy before surgery • Benefits and risks of non-warfarin anticoagulants Learn more about cardiovascular care at Brigham and Women’s Hospital: http://www.brighamandwomens.org/cardiovascularmedicine Read the What you Need to Know about Anticoagulant Therapy video transcript: http://www.brighamandwomens.org/Departments_and_Services/medicine/services/video-transcripts/what-you-need-to-know-about-anticoagulant-therapy-transcript.aspx
Просмотров: 5287 Brigham and Women's Hospital
Anticoagulation explanation for surgery patients at Dixie Regional
 
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Patients undergoing surgery at Dixie Regional Medical Center are places on anticoagulation therapy. This video explains why the therapy is necessary and how you can make sure you're taking your medication properly.
Просмотров: 308 Dixie Regional Medical Center
Bridging Anticoagulation
 
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ISTH 2015 - Thomas Ortel, Chief, Division of Hematology, Professor of Medicine and Hematology and Medical Director, Clinical Coagulation Laboratory, Duke University Medical Center - The management of patients with atrial fibrillation on warfarin who need treatment interruption for surgery/procedure is a common clinical problem. Bridging with low-molecular-weight heparin has been used to minimize the time that patients are not anticoagulated to mitigate the risk for arterial thromboembolism. This study seeks to determine the efficacy and safety of bridging anticoagulation.
Просмотров: 2825 Thrombosis.TV
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: 4730 AbrahamThePharmacist
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
Taking the Coumadin ® (warfarin)
 
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Просмотров: 120 CHUSherbrooke
Surgery Procedure and Preparation
 
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This video is intended to educate patients about surgeries and how to appropriately prepare for a scheduled surgery or procedure. Steps covered in this video include pre-op education, and getting ready before and during the day or surgery.
Просмотров: 1478 Veterans Health Administration
Reversal of newer anticoagulants – When and how
 
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The continued evolution and refinement of strategies for disease diagnosis, risk assessment, therapeutic intervention and disease management have provided patients with hematologic malignancies and benign hematologic disorders with enhanced outcomes and improved quality of life. The 2016 Great Debates & Updates in Hematologic Malignancies conference, held April 1-2 in New York, NY, provided clinicians with the most current and pertinent data in the areas of multiple myeloma (MM), chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), acute leukemia, myelodysplastic syndromes (MDS), myeloproliferative neoplasms (MPN), lymphoma and benign hematology. This Key Insights™ activity provides a summary of the key ‘take home’ points from the meeting. In this presentation, Dr. Kenneth A. Bauer discusses the reversal of newer anticoagulants. A continuing education program is offered as a supplement to this webcast at the following location: http://elc.imedex.com/ELC/Activity-Search.aspx?search=7204 © 2016 Imedex, LLC.
Просмотров: 2604 ImedexCME
Heart Valve Replacement Surgery Explained Part 1
 
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Heart Valve Replacement Surgery Explained Part 1
Просмотров: 222748 DDRmedia
What is anti-coagulation?
 
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Dr. Glenn Barnhart explains what anti-coagulation is, which means that the patient has to be on a blood thinner. Anti-coagulation is controlled by checking the blood for the right amount of thinness. The purpose is so clots will not get on the mechanical valve. Having clots on a mechanical valve can cause it to break, go to the brain and cause a stroke or cause intrinsic dysfunction. For more information about heart surgery at Swedish, please visit http://www.swedish.org/heartsurgery.
Просмотров: 3116 Swedish
Bleeding & Bruising with Injections and Rhinoplasty Surgery
 
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Double Board Certified Facial Plastic Surgeon, Dr. Shervin Naderi, discusses how to minimize bleeding and bruising and downtime in cosmetic surgery for the best results. Avoiding Aspirin, NSAIDs Pain Medications like Ibuprofen, Vitamin E, Coumadin, Heparin, Plavix, Eliquis, Pradaxa, Xarelto, Omega-3, Fish like Salmon, seeds like Flaxseeds, Nuts like Almonds and Walnuts, Garlic, Ginseng, Ginkgo, Herbal supplements, herbal teas, red wine, and many more foods and drinks and pills can cause excess bleeding and bruising and should be avoided 2 weeks before and up to 2 weeks after #rhinoplasty #surgery and cosmetic #botox and #filler #injections
How To Avoid Bruising With Lip Injections
 
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Lip injections or fillers, a type of lip augmentation, are one of the fastest ways to create volume in your lips and reduce lines around your mouth. However, before you sit down for this treatment, there are a few things you should avoid to reduce the risk of bruising. Avoid 10 days prior to your scheduled appointment: - Coumadin - Fish Oil - Garlic - Ginger - Ginkgo - Ginseng - Green tea - Omega 3 fatty acids - Salmon - Aspirin - Advil - Aleve - Motrin - Ibprofin - St. John's Wort - Vitamin E - Warfarin Before the procedure take Arnica as directed on the package for 1 to days prior to the procedure. Avoid alcohol, especially red wine, for 24 hours before the procedure. Buy a good concealer in case of bruising. After the procedure take arnica and bromelain as directed, avoid heat for 48 hours, avoid exercise for 48 hours, avoid facials or massages, alcohol and spicy food for 24 hours. To learn more about dermal fillers and which one is right for you visit Dr. Leslie Baumann's blog here: http://lesliebaumannmd.com/choose-dermal-filler/ Make an appointment with Baumann Cosmetic & Research Institute in Miami with The Lip Lady of Miami, Ilanit Samuels. Phone: (305)532-5552 Website: www.derm.net Follow us on social media! Instagram: https://www.instagram.com/baumanncosmetic/ Facebook: https://www.facebook.com/BaumannCosmetic/
Просмотров: 1270 Baumann Cosmetic & Research Institute
Anticoagulants Blood Thinners Pre Surgery Preparation Seguin New Braunfels San Marcos TX
 
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http://www.spinecenteroftexas.com/
Просмотров: 321 Spine Center of Texas
Stroke Following Surgery: Treatments and Interventions at Holy Cross Hospital, Fort Lauderdale, FL
 
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Patients with certain cardiac conditions who are taking anticoagulation medications face the dilemma of being taken off anticoagulants before undergoing any surgery to avoid bleeding and serious complications. From the few days before and after surgery that this type of patient is not taking anticoagulants, there becomes a serious risk of suffering a stroke. One out of every 200 patients who have stopped taking anticoagulants in order to have surgery will have a stroke. Holy Cross Hospital is a Comprehensive Stroke Center and has the technology, experience and expertise to help prevent dramatic loss of functions due to stroke. Holy Cross has a Stroke Team and an internationally-acclaimed Interventional Neuroradiologist (Laszlo Miskolczi, MD) on-call 24/7 ready to diagnose and treat strokes in case such a complication arises during your care. In this video, you will hear from one of our stroke patients regarding the treatment he received from Dr. Miskolczi. For more information about Holy Cross Hospital's Comprehensive Stroke Center, contact Dr. Miskolczi at 954-492-5780 or visit http://neurology.holy-cross.com/comprehensive-stroke-center. http://www.holy-cross.com/laszlo-miskolczi-md
Просмотров: 887 Holy Cross Hospital
How to Avoid Heart Surgery Part 1
 
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How to Avoid Heart Surgery Part 1
Просмотров: 20257 DDRmedia
Pentagon Nursing Review Michael Jimenez Pharmacology Anticoagulant Heparin Coumadin Bleeding
 
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http://www.pentagonreviewcenter.com Pharmacology has been my subject of interest when I taught in Far Eastern University 5 years ago. Cleaning up my computer, I chanced upon some old powerpoint presentations on the topic--then I updated some a bit---and now, I'm sharing these for those who are reviewing for their examinations and want a simplified approach---short study time, but long retention period---which is my advocacy in the subject which I am most passionate about---teaching. "Memorize, before you analyze. How can you analyze something that you cannot even recall?" - Michael Jimenez Normal APTT 30-40 secs Phipps' Medical Surgical Nursing p.924
Просмотров: 48641 Michael Jimenez
AAG Invasive Procedure TIME OUT
 
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A pre-procedural pause is a mandatory intervention prior to any invasive procedure. Laterality, anticoagulation, patient consent all need to be confirmed prior to sedation and procedure.
Просмотров: 259 Jeffrey D. Shapiro, M.D.
Webinar: What Can Heart Valve Surgery Patients Expect? (with Dr. Luis Castro)
 
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https://www.Heart-Valve-Surgery.com - Learn what to expect before, during and after heart valve surgery in this special webinar with Dr. Luis Castro, Sequoia Hospital, and Adam Pick, a patient advocate. To see patient reviews and other videos with Dr. Luis Castro, please click https://www.heart-valve-surgery.com/surgeons/dr-Luis-Castro-Redwood+City-California.php.
Просмотров: 9480 HeartValveSurgery.com
Should You Avoid Foods High In Vitamin K If Your On Warfarin
 
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When i had my heart operation done about 10 years ago, i had a st judes mechanical valve replacement, i was told to try and avoid food high in vitamin K because it will have an effect on my INR levels. I now eat leafy green vegetables all the time i just make sure i eat them on a regular basis to help keep my levels in the same range all the time. I test my own INR about every 2 weeks and my levels stay pretty much within the correct range. To keep fit and healthy you need to have a good healthy balanced diet and that should also include leafy green vegetables. If you have any worries or questions about your levels or anything to do with you new valve replacement you should consult your own doctor for the best advice. I'm now fitter than i have been in years and do a lot of cycling and some weight training, so you don't have to give up everything in life just because you've had open heart surgery. You should consult your Doctor before doing any strenuous exercise or workout, if you have any dizziness or pain you should stop immediately, you do this workout at your own risk. Please be reminded i am not a personal trainer this is just my workout routine you should consult a personal trainer to obtain a proper workout for what you want to achieve. Subscribe to my channel for more great videos and leave me some feedback about the video in the comments below or email on valveriider@hotmail.com Catch Me On Strava - Valveriider.
Просмотров: 1920 ValveRiider
What to Expect Before Cataract Surgery - Milan Eye Center
 
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www.milaneyecenter.com | Dr. Milan Patel | 678.381.2020 | Atlanta, Georgia It is a top priority at Milan Eye Center, to prepare our patients to be properly informed of cataract lens replacement surgery. Before surgery, patients will be given a prescription for eye drops and should use the medicated eye drops exactly as written in the pre-op plan. Patients should plan ahead for a family member or friend to drive them home following the procedure. While aspirin may continue to be taken prior to surgery, patients that take anticoagulants such as Coumadin or Plavix should never stop taking the medication on their own. A primary care physician or cardiologist should determine whether the anticoagulants should be stopped prior to surgery. Beginning the night before the cataract procedure patients should not eat or drink anything including water, after midnight. Patients should also shower the evening before surgery. On the morning of cataract surgery, do not apply any makeup including blush, mascara, lipstick, eyeliner, or eye shadow. Do not wear contact lenses. Do not apply any lotion to the face or chest. Do take your heart or blood pressure medications with only a small sip of water. Be sure wear comfortable clothing with a button or zipper top. Leave all jewelry and valuables at home. For diabetic patients, please refrain from taking insulin or any other diabetic medication. What to Expect During Cataract Surgery: http://www.youtube.com/watch?v=Xy_ASshCrTQ What to Expect After Cataract Surgery: http://www.youtube.com/watch?v=_fgdXZPN2kM
Просмотров: 4522 Milan Eye Center
Management of Dabigatran-Treated Patients who Elect Surgery
 
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Sam Schulman, MD of McMaster University discusses his ISTH 2015 presentation that evaluated a management protocol of dabigatran-anticoagulated patients who elect surgery. The investigators utilized a pre-specified management protocol and studied 541 patients that had elective procedures; almost all patients had a history of atrial fibrillation. There were 0 strokes and only 1 TIA reported (0.2% risk of arterial embolism). There were 10 major bleeding events (1.8%); several of the bleeding events occurred because of a major surgical procedure or the need for repeat surgery. Bridging of patients with heparin was prohibited, except in the case a patient was unable to take oral medications in the post-operative period. This type of protocol provides a suggested protocol for widespread implementation to streamline the management of NOAC-treated patients who elect surgery.
Просмотров: 66 Thrombosis.TV
Blood Thinner Doses: Why is it Hard to Get Right After Surgery
 
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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.
Просмотров: 167 PeerWell
Preventing Thromboembolism after Arthroscopy and Casting
 
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Patients who undergo arthroscopic knee surgery and lower-leg casting are thought to be at increased risk for VTW, but the benefits and risks of preventive anticoagulation are not clear. New research findings are summarized in this short video. Full study: http://nej.md/2fLUexI Watch more Quick Take videos: http://nej.md/1WoeHdF
Просмотров: 1722 NEJMvideo
Heart Valve Replacement Surgery Explained Part 2
 
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Heart Valve Replacement Surgery Explained Part 2
Просмотров: 95375 DDRmedia
Perioperative Management of Dabigatran
 
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ISTH 2015 - Sam Schulman, ISTH 2015 Congress President, Professor of Medicine, Thrombosis Service, McMaster University - This cohort study evaluates the safety of perioperative management of dabigatran using a specified protocol. Patients treated with dabigatran and planned for an invasive procedure were eligible for inclusion. The timing of the last dose of dabigatran before the procedure was based on the creatinine clearance and procedure-related bleeding risk. Resumption of dabigatran was pre-specified according to the complexity of the surgery and consequences of a bleeding complication.
Просмотров: 122 Thrombosis.TV
Heart Valve surgery: Minimally invasive mitral valve repair.
 
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Dr. Luis Castro of Sequoia Medical Group Cardiovascular Services outlines the four most important questions you should ask your surgeon if you or a loved one is a candidate for mitral valve replacement or repair. Dr. Castro also presents important information related to mitral valve procedures, what you need to know in considering your surgical options. Dr. Castro can offer patients the best heart valve replacement survival rate in the nation. To reach the Sequoia Hospital Heart and Vascular Institute or schedule an appointment, call 844.695.6420.
Просмотров: 65661 Dignity Health Sequoia Hospital
The life-threatening dangers of Xarelto blood thinner
 
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Xarelto (rivaroxaban) is a blood thinner, or anticoagulant. Blood thinners are important drugs that are used to prevent blood clots, lower the risk of stroke, treat deep vein thrombosis, and treat pulmonary embolism, among other things. Xarelto has been on the market since only 2011. As with many new pharmaceutical drugs, Xarelto is no more effective than drugs that have been on the market for many years. Moreover, these new drugs are often rushed to the market before the true safety of the drug has been established through long-term studies. In this case, warfarin (coumadin) has been used for six decades as a blood thinner. Physicians know what to expect from warfarin, but this new wave of blood thinners, including Pradaxa and Xarelto, should not have been rushed to market without more testing. The anti-clotting mechanism of warfarin can be reversed in case of an emergency. Unlike warfarin, there is no known antidote to Xarelto’s anti-clotting mechanism. The dangers posed by this phenomenon should be obvious. A physician tasked with treating a patient on Xarelto who has serious internal bleeding or who requires emergency surgery needs to be able to reverse the anti-clotting mechanism of the blood thinner or the patient may bleed to death. This is why we are instructed not to take aspirin for 24 hours prior to a surgical procedure. The dangers posed by Xarelto are identical to those posed by Pradaxa, another relatively new anti-coagulant, which is manufactured by Boehringer Ingelheim. Pradaxa also has no know antidote to its anti-clotting mechanism. According to the FDA, within a month of its October 2010 approval date, Pradaxa was linked to more adverse events than 98% of the drugs monitored by the FDA, A few months after the Pradaxa approval date, the FDA had received 120 reports of deaths of Pradaxa users. A study reported in January 2012 in the Archives of Internal Medicine concluded that Pradaxa use is associated with a 33% increased risk of heart attack. A Cleveland Clinic study of more than 30,000 patients comparing Pradaxa to warfarin also found that Pradaxa is more likely than warfarin to cause heart attacks. In 2012, Pradaxa lead all other drugs for reported hemorrhage, stroke, and acute kidney failure. Pradaxa was rushed to the market to beat the release of competitors’ drugs, Xarelto and Eliqis. As a result, Pradaxa is the subject of thousands of lawsuits from patients claiming that Pradaxa caused them to suffer uncontrollable and even fatal bleeding. Xarelto was released in 2011 by Johnson & Johnson in partnership with German pharmaceutical giant, Bayer. Xarelto soon faced the same problems connected to Pradaxa and for the same reasons. In Germany, Der Spiegel reported that between January 2012 and September 2013 Xarelto was linked to 130 deaths and 1,700 report of bleeding complications in Germany. The U.S. Food and Drug Administration received over 11,000 reports of adverse events in Xarelto patients. It is a well-known phenomenon that physicians and patients under-report adverse events to the FDA by a factor of about 100. Phelan | Petty is experienced in Xarelto litigation, and many suits are being filed now. If you have been harmed by Xarelto or Pradaxa and want to seek compensation, please contact the experienced pharmaceutical attorneys at Phelan | Petty, PLC. 6641 West Broad Street, Suite 406 Richmond, VA 23230 (866) 249-3164 Toll Free (804) 980-7100 Phone www.phelanpetty.com
Просмотров: 3215 Phelan Petty
The Debate Over Exercise Restrictions in Cardiac Surgery
 
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Should patients remain active before, during, and after cardiac surgery? Some surgeons have opposing views. Thomas G. Gleason, MD, from the University of Pittsburgh, and Edward P. Chen, MD, from Emory University, discuss the role of exercise in the treatment and recovery process following surgery for various forms of heart disease, especially among active patients.
Просмотров: 358 ThoracicSurgeons
Antidepressants Increase Adverse Reactions in Surgical Patients
 
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According to an article published in the April 2013 issue of the journal Internal Medicine, patients on SSRI antidepressants at the time of surgery have a 20% increased mortality, 9% increased risk for bleeding, and 22% increased risk for readmission within a month of discharge from the hospital! This was based on a review of 530,000 surgical patients from 2006-8. SSRIs such as Celexa, Lexapro, Prozac, Luvox, Paxil, and Zoloft, interfere with platelet function that can interfere with blood coagulation. Common side effects of SSRIs include nausea, vomiting, diarrhea, insomnia, impotence, suicidal ideation, mania and much more. They interfere with the toxicity of Coumadin, digitalis, antiarrhythmic drugs, tricyclic antidepressants, triptans, benzodiazepines, and dilantin. SSRIs toxicity is increased by alcohol, diuretics, Sudafed, lithium, Meridia, Ambien, Tramadol, and St. Johns Wort. For a family of drugs that is no more effective for placebo for mild to moderate depression it should make you wonder why they are used most of the time! For more information please visit www.doctorsaputo.com
Просмотров: 635 DoctorSaputo
Life After Heart Valve Replacement Surgery
 
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Robert Goellner, a patient of Newark Beth Israel Medical Center, discusses his life before and after Heart Valve replacement surgery.
Просмотров: 103738 RWJBarnabas Health
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
Can You Take Tylenol If You Are On Blood Thinners?
 
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About blood clots and how to treat them. Html url? Q webcache. A blood thinner can be a sign of medical emergency, especially if it's accompanied acetaminophen (tylenol) is the primary over counter pain reliever that does feb 1, 2012 most doctors realize aspirin interact with coumadin, but few are aware you listed several drugs may coumadin; One them was tylenol. Heart md institute dr. Does coumadin interact with tylenol? The people's pharmacy. In fact, more than 2 million people take blood thinners every day to keep them from developing if you are taking a thinner, talk your doctor before any motrinpamprin hbsine offtylenol may 18, 2011 i can't imagine millions of individuals on coumadin w oa not having some who (also called warfarin), which is thinner. Can you take lisinopril and ibuprofen together? . Before the surgery you do not have anything in your stomach if are going to receive anesthesia jul 10, 2013 this includes acetaminophen (tylenol), aspirin, ibuprofen (advil, motrin), naproxen for most people becomes complicated dangerous those of us taking blood thinners. Blood if you're taking a blood thinner, your options for pain relief are limited. I think the issue is taking meds that are blood thinners. If inr value is high, patients are predisposed to an increased risk of bleeding, while low vitamins and herbal preparations they taking or plan take. Coumadin and tylenol drug details. Medications such as acetaminophen (tylenol) do not have this risk of another wrinkle for you is that injections into the joints patients on coumadin can be jun 28, 2012 take tylenol pm if are allergic to acetaminophen, consult your healthcare provider taking blood thinners may 21, 2016 has no effects an established thrombus, and can't reverse ischemic tissue damage. Can i take painkillers with blood thinners? Newsmax. What to take when taking blood thinners clot recovery choose painkillers carefully if you coumadin health is it alright ibuprofen while thinners? . Blood thinners, painkillers can be dangerous together. Severe liver if you have disease; If are taking the blood thinning drug warfarin a history of stomach problems, such as heartburn, safe to take with these conditions sep 6, 2016 how safely fish oil and thinners grams daily, generally can be tolerated even prescription. Aug 20, 2014 acetaminophen best to avoid serious bleeding risk. Mixing some meds could put you in danger rodale wellness. May 7, 2009 tylenol does not have this effect. Surgery, blood disorders answer yes you can take tylenol. Acetaminophen (tylenol) side effects, dosage, interactions drugs. Although it is safe for a patient on coumadin to take tylenol occasionally if all these drugs thin blood, why can't we just them and apr 14, 2014 'the message people you're taking blood thinner, do not an or aching muscles joints, generic [acetaminophen] jun 18, 2015 xarelto thinner that does require weekly monthly monitoring. Memorial sloan blood thinner pills your guide to using them safely. Is
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Reversing Warfarin: ACCP New Guidelines – Diane Birnbaumer, MD
 
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33rd Annual EM & Acute Care Course - www.emacourse.com Presented by some of the best educators in emergency medicine, the focus of the course is the new, the controversial and the provocative. The course faculty synthesize the literature and combine it with their clinical experience to provide participants with specific recommendations regarding diagnosis and therapy related to emergency care.
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20 - Rules warfarin, pregnancy, dosages for children_ Cautio
 
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20 - Rules warfarin, pregnancy, dosages for children_ Cautio(2)
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Are prosthetic valve anticoagulation clinics effective?
 
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PVATC/CVDMP/KACC/SHA27
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Is Acetaminophen A Blood Thinner?
 
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Memorial sloan ibuprofen neutralizes blood thinning effect of aspirin to your health. Is acetaminophen a blood thinner? Drugs. The exception is tylenol (acetaminophen) for pain control, a safe alternative that can be taken at any time before surgery if you should need to take something relief of minor pain, may acetaminophen, which found in tylenol, datril, anacin 3, and panadol. Is tylenol pm considered a blood thinner? Medschat. Yahoo aspirin ibuprofen naproxen acetaminophen blood thinner. This is a list of medications that have an affect on the blood clotting process. This is why it's effective for heart disease 1 dec 2010 i am taking coumadin to thin my blood, does acemitaphen or paracetamol makes the blood thinner thicker? Paracetamol doesn't have while you are thinners, do not take can acetaminophen (tylenol ) any aspirin reduce clotting, and when taken daily has demonstrated ability advil motrin), (e. Vioxx), with all subjects who took aspirin before ibuprofen inhibited the blood thinning. Thus, it is unlike aspirin in that regard, and blood thinner list. Does acetaminophen cause blood thinning? Is there a way to aspirin and thinner list. The products listed below are acetaminophen, also called paracetamol in europe, does not affect blood coagulation and of itself. Can i take tylenol for pain? I think the issue is taking meds that are blood thinners no, this substance not considered a thinner, which makes it different from even though acetaminophen isn't large quantities in because most anti inflammatories and pain relievers contain thinning agents, these medications should be avoided. It is not an nsaid (non steroidal anti inflammatory drug) 20 aug 2014 pains if your doctor has you on a blood thinner (anticoagulant) such as warfarin also acetaminophen best to avoid serious bleeding risk many common over the counter painkilling medicines have thinning effects 'if medical treatment needed, he recommends paracetamol, 14 apr patients who use thinners warfarin, eliquis, xarelto or aching muscles joints, take generic tylenol [acetaminophen] voices. Is tylenol a blood thinner? Drugs. Bad mix blood thinners and nsaids harvard health. Tylenol works wonders, try it and is anticoagulants (also referred to as blood thinners) reduce your risk for heart attack, aspirin; Acetaminophen (e. Answers (question resolved) posted in tylenol, acetaminophen, pain medication answer no, acetaminophen is not classified as a blood i can't take ibuprofen because i'm having surgery week. Is acetaminophen a blood thinner? Drugs drugs is thinner 14420. Html url? Q webcache. These (acetaminophen) as directed 10 jul 2013 tylenol is generally known to be the best, i am taking eliquis for blood thinner and find that 2 x 500mg. 10 facts is acetaminophen a blood thinner blood thinners to avoid prior to surgery my doctor online. Tylenol, excedrin); Ibuprofen (e. The fda 1 oct 2013 use of blood thinners requires caution with other drugs, especially acetaminophen (tylenol) can b
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Surgery Implant Technique: On-X Aortic Valve Replacement
 
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The On-X prosthetic heart valve offers more: more protection from complications as seen in clinical trial comparisons; the possibility of one valve for life instead of the temporary choice of tissue replacements; the possibility of reduced anticoagulation medication; more preoperative education — view valve surgery or view a patient education video; more flow especially in small size aortic valves. On-X outperforms other valves in hemodynamic performance as seen in FDA trial comparisons.
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DVT'S & ARTHRITIS- My Leech Therapy 'how to' clip 1 of 2
 
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Sooo many people have asked about my leech therapy I decided to do a 'how to' video. I am not a medical doctor and I am not offering any medical advice...just my experience. Do not try if you have a compromised immune system, recent major surgery or are allergic to leech spit, seriously. Did you know that Medical Journals document hundreds of studies on Leech Salivary Gland Extract (spit)? Who knew. (I have read most of them). I am one year into recovery for acute, permanent, Femoral DVT's. I went from having to crawl to walking a couple of miles to getting back into doing inline skating. The biggest improvement in DVT was wrought by my first at home 'leeching' a couple of months ago. I had improvement of about 50%! from a total of 11 leeches. ALSO..was not expectiing this but my arthritis in both knees (from total knee replacements) a year before TOTALLY DISAPPEARED! Also, was not expecting this but bilateral parathesis (from the knee surgery) of the big toe improved by 50% or more. WHY DID I TRY THIS? Because the idea of being an invalid was just not in my book and my vascular surgeon said after a two week 'window' there is no safe therapy for acute FDVT's. tPA, a thrombolytic is too risky. I was desperate. HOW DOES IT WORK? Leeches are blessed with a cocktail of wonderful biopeptides. The most commonly know is Hirudin. The one I wanted is Destabilase and is specific for isopeptide bonds in organized fibrin. WHERE DO YOU PUT THEM? I personally think it doesn't matter because the superficial vein system will ultimately join with the entire veinous system but that is my assumption. I would try to avoid putting them onto larger veins...just seems logical? I choose the ankle because I noticed that they tend to leave small 'bite' scars (like the Mercedes emblem,ha). Also I have a lot of veinous stasis in that area. ARE THERE ANY DANGERS (I asked myself) For me I have a normal immune system, and used no antibiotics. Have had no problems. DOES IT HURT? Like a mild sting at first so just deal with it. After about ten minutes that goes away. You may have some mild itching during healing. On this application I noticed no stinging at all. HOW LONG WILL THE BITE BLEED? Depends on a number of factors. For some it may be an hour and for others it may be 48 hours (like me on coumadin). Just plan on getting a little blood stain on something so don't wear your best clothes for a while, smile. IS BEING ON COUMADIN/WARFARIN A PROBLEM? I have done this while on coumadin (INR=2.8) and no problem. This time I discontinued my coumadin three days before to allow the bites to heal faster.This time the bleeding stopped in three hours. I will wait a couple more days before resuming coumadin. IF IT'S SO GOOD WHY DON'T DOCTORS RECOMMEND IT? Mainly because of the "yuuch' factor, scary, and all the pharmaceutical companies can make a ton of $money off drugs and other stuff that doesn't work very well. I know. WHAT KIND OF LEECHES DO I USE? 'Hirudin Medicinalis' and they run anywhere from $8 each on up to $25. I used the $8 company. Just google for where to order. I order ten at a time to allow for a few escapees. For me that came to $105 including the special shipping thermos. WHAT DO I DO WITH LEECHES AFTER FEEDING? You can put them into a jar of rubbing alcohol to kill them if you choose. I put them into an aquarium with a few inches of water. You can reuse them in a few months. Don't use chlorinated water. Don't put new hungry leeches into the same bowl as the ones that just fed on you. Always put a very fine covering over the bowl to allow air while keeping the leeches from escaping. They like to have plenty of darkness if possible, especially the young unfed leeches. Also place a few rough, clean stones in the bowl to help them with 'molting'. You can easily waste hours watching these guys swim and play in the tank/bowl. Remember leeches have no skeleton and even a fat one can morph into a skinny fella and escape through a 1/8" opening (three did that while I was doing this video). You can watch a fat 1" long leech morph into a 6" long skinny dipper...cool. Once fed they are not going to try to feed again on you even if they escape. If the hungery ones escape they will likely die in the room shortly (mine did). WHAT ELSE ARE LEECHES USED FOR? I can only vouch for Fibrin clot reduction, Arthritis reduction, and some neurological therapy. The literature includes Lung Cancers, Diabetes, Surgery of reattaching limbs, skin disorders, antibacterial, immune disorders, fibromyalgia,macular degeneration,some viruses, relaxation, and more. WHERE CAN I GET MORE INFO? http://www.bterfoundation.org/ Also do a google search. You will find that the Russians are really the avant garde' leech specialists. Most of the tech journals are done by Russian teams. India and other countries have a great deal of learning in their Ayurvedic medicine.
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Dr. Andy on COUMADIN
 
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Offering house-calls exclusively, Dr. Andy Oakes-Lottridge is able to give his patients a level of convenience not seen for many decades. Dr. Andy sees patients of all ages, and has hospital credentials for both pediatrics (newborns, children, adolescents) and adult medicine in Lee County, Florida. Dr. Andy is currently accepting new patients of all ages. For more information, please visit Dr. Andy's Web site at www.drandy.us
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Before Cancer Surgery, Blood Thinners Appeared Safe
 
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http://www.rxwiki.com/news-article/blood-thinning-medications-cancer-surgery-not-tied-increased-bleeding-risk Cancer patients have enough to worry about — they shouldn't have to worry about the health effects of medications taken before cancer surgery. And new evidence suggests they may not have to. Blood-thinning drugs given to cancer patients before cancer surgery were not tied to an increased risk of transfusions or major bleeding, a new study found. Cancer patients are prone to venous thromboembolism (VTE), which occurs when blood in a vein clots, according to the authors of this study. This condition can be fatal.
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Difficult Issues With Anticoagulation. Who Still Needs Coumadin? - Paul Dorian, MD, FRCPC
 
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Clinical Update 2013 Speakers' Presentations - Difficult Issues With Anticoagulation. Who Still Needs Coumadin? - Paul Dorian, MD, FRCPC
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Does blood thinners need to be stopped before extraction? - Dr. Pujari M R
 
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Many patients are visiting the dentist when the tooth is more decayed, and you cannot save the tooth by root canal, then you have to go for extraction. So in extraction, in patients above 40, 50, 60 years, we have seen patients having cardiac problem. In patients having cardiac problem, they must have undergone angioplasty, or having high BP or undergone a bypass surgery. In that usually their cardiologist will give them blood thinners. These blood thinners have to be stopped before doing any extraction or minor surgical procedures. Treatments like tooth fillings, root canal treatments are quite safe. You don’t have to stop your blood thinners. But when you have other surgery, or tooth extraction, you have to stop the blood thinners 2 days prior and stop 2 days post extraction. So prior 2 days and post 2 days of extraction is very important to stop these blood thinners. If we don’t stop these blood thinners, there is high chance that the blood loss will be more as often blood will not stop immediately. Then the doctor has to stop the blood by hemostatic agents. So just to be on a safer side, it is not a big complication. Just to be on a safer side, it is better to stop and the patients can resume back after 2 days with these medications.