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VIVA Perioperative anticoagulation
Просмотров: 1075 Ya Ruth Huo
Bridging Warfarin Patients for Elective Surgery
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: 639 Thrombosis.TV
Do I need to stop taking warfarin before I have an operation?
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: 1144 NPS MedicineWise
Bridging Anticoagulation
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: 2696 Thrombosis.TV
Dental Surgery in anticoagulated patients (Interview with Dr. Michael Wahl)
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: 1214 Real World Endo
What You Need to Know about Anticoagulant Therapy Video – Brigham and Women’s Hospital
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: 4818 Brigham and Women's Hospital
Anticoagulation explanation for surgery patients at Dixie Regional
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: 302 Dixie Regional Medical Center
Surgery with a Prosthetic Valve: What About the Warfarin?
The Consult Guys answer a true stumper. Watch video and take the CME quiz. http://bit.ly/1luqfgi.
Просмотров: 772 American College of Physicians
Warfarin Induced Skin Necrosis
Просмотров: 1131 Drug-Induced Diseases
NCLEX Question: Bridging Coumadin until INR Therapeutic
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: 5568 EmpoweRN
The Debate Over Exercise Restrictions in Cardiac Surgery
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: 320 ThoracicSurgeons
How to deal with over anticoagulation after warfarin therapy
How to deal with over anticoagulation after warfarin therapy
Просмотров: 172 ahmedelsaed15
Warfarin: Information About Warfarin | Warfarin Interactions | Warfarin Side Effects (2018) Coumadin
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: 2966 AbrahamThePharmacist
The life-threatening dangers of Xarelto blood thinner
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: 2959 Phelan Petty
Preoperative evaluation of patients with diabetes
In this video I discuss the metabolic effects of surgery on blood glucose and factors to consider as you evaluate a diabetic patient prior to surgery.
Просмотров: 2285 Terry Shaneyfelt
Perioperative Diabetes Management: Patients on Insulin
In this video I review perioperative glycemia managment strategies of insulin requiring patients with diabetes.
Просмотров: 3386 Terry Shaneyfelt
AAG Invasive Procedure TIME OUT
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: 254 Jeffrey D. Shapiro, M.D.
Perioperative Management
Thirty million patients undergo surgical procedures in the U.S. each year, and the age and medical complexity of this patient population are increasing. Every year the body of peer-reviewed literature on perioperative care increases and new guidelines on clinical management are formulated. In addition, economic, regulatory, and legislative changes continually create new challenges for healthcare professionals. The curriculum for this activity was specifically created to address the needs of clinicians who provide patient care before, during, and after surgery. The Johns Hopkins program, Perioperative Management, continues to be the established leader in perioperative medicine. This activity aims to provide practitioners with the most up-to-date knowledge necessary to deliver effective, evidence-based care by affecting health care practices at the level of the individual and the larger health system.
Просмотров: 2630 cmeinfochannel
Blood Thinner Doses: Why is it Hard to Get Right After Surgery
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: 151 PeerWell
Preventing Thromboembolism after Arthroscopy and Casting
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: 1668 NEJMvideo
Warfarin Therapy: Guidelines for Living Well and Safely
This patient education video provides helpful information for patients who are beginning Warfarin therapy.
Просмотров: 1658 Upstate Medical University
Having an operation when taking anticoagulant medicine
Understanding my medicine: anticoagulants fior atrial fibrillation. This video explains what to do when having a procedure or operation when taking anticoagulant medicine.
Просмотров: 238 Guy's and St Thomas' NHS Foundation Trust
Management of Dabigatran-Treated Patients who Elect Surgery
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
Warfarin Management
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.
Does blood thinners need to be stopped before extraction? - Dr. Pujari M R
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.
Pentagon Nursing Review Michael Jimenez Pharmacology Anticoagulant Heparin Coumadin Bleeding
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: 47899 Michael Jimenez
Anticoagulation strategies for Atrial Fibrillation [UndergroundMed]
For more videos, check out our website at: http://videos.undergroundmed.net
Просмотров: 2331 UndergroudMed
What Is The Antidote To Warfarin?
All patients with signs of active bleeding or at significant risk life threatening hemorrhage require admission to the hospital. Since each patient the blood thinning property of warfarin is measured by a test called inr (international as such vitamin k used an antidote to reverse. Because of a (brain) hemorrhage prothrombine complex 10 sep 2009 the couple had heated argument which ended with patient swallowing 2mg kg warfarin. Reversing anticoagulants both old and newrapid warfarin coumadin reversal davis's drug guidewhat is the antidote of overdose? Quora. December schattauer gmbh verlag fr medizin und. When oral vitamin k1 is used for warfarin reversal, the injectable formulation of 9 dec 2015 a k antagonist, so dose an antidote to though one that works slowly and unreliably. Warfarin overdose management life in the fast lane. However, vitamin k in serious bleeding due to excessive warfarin therapy (over anticoagulation), rapid (coumadin) reversal is required. If you needed to reverse asap e. Vitamin k & warfarin reversal consensus guidelines, on behalf of the reversing effects new anti clotting drugs harvard health guideline surgical critical careisrctn isrctn79841657 over anticoagulation with antidote study sets and flashcards news events atrial fibrillation, oral anticoagulant drugs, their management an elevated inr caused by therapy 3. Antidote' to help doctors move past warfarin. Dec 2015 but the anticoagulant effect of warfarin must be carefully monitored with periodic blood tests. But the fear warfarin reversal guidelinewarfarin (coumadin) is used to treat a number of hypercoagulable disease states. Patients quizlet provides warfarin antidote activities, flashcards and games. Start learning today for free!. If the effect reversal agents best antidote 15 aug 2010 bleeding is most common complication of warfarin therapy and elevated inr vitamin k1 an effective to warfarin; Both oral k really for serious with warfarin? Patients receiving anticoagulants should be carefully managed minimize risk Warfarin superwarfarin toxicity medication antidotes, other treatment & management wikipedia. Medscape article 821038 medication url? Q webcache. After an acute intentional ingestion, administer activated charcoal for people who need rapid reversal of warfarin such as due to serious bleeding or emergency surgery, the effects can be reversed with vitamin k, prothrombin complex concentrate (pcc), fresh frozen plasma (ffp) in addition intravenous k. Warfarin wikipedia warfarin and superwarfarin toxicity medication antidotes, other emedicine. Learn about csl berhing patient should have consistent limited intake of these foods, as vitamin k is the antidote for warfarin, and alternating foods will cause pt levels to 1 sep 2013 answer key. Googleusercontent search. The ingestion occurred about 30 minutes 23 dec 2015 new york (reuters) of blood thinners that competes with widely used warfarin should get boost next year when an 'antidote' jul vitamin k,
Просмотров: 225 Uco Uco
What to Expect Before Cataract Surgery - Milan Eye Center
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: 4455 Milan Eye Center
Stroke Following Surgery: Treatments and Interventions at Holy Cross Hospital, Fort Lauderdale, FL
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: 869 Holy Cross Hospital
Perioperative Management of Dabigatran
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: 119 Thrombosis.TV
Blood Thinners and Surgery
Patients are told "no aspirin before surgery" because it can thin the blood too much. Catherine Hwang, M.D., the Oculo-Plastic Surgeon at The Assil Eye Institute explains plastic surgery patients are no exception, and aspirin isn't the only medication that thins the blood
Просмотров: 482 newsdog01
Top NCLEX Meds Tips for Coumadin / Warfarin
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: 1868 Jonathan Small
Should You Avoid Foods High In Vitamin K If Your On Warfarin
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: 1869 ValveRiider
Reversal of newer anticoagulants – When and how
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: 2411 ImedexCME
Antiplatelet therapy during surgery
Antiplatelet therapy during surgery Dr Umesh R Bilagi MD, DM (card) Sushma heart foundation Opposite Nehru stadium main HUBLI www.LearnOnly.com Continuation of Antiplatelet therapy  No study yet has shown, increase in mortality and morbidity with continued Antiplatelet therapy during surgery except for intracranial surgery. Withdrawal of Antiplatelet therapy before surgery  Associated with rebound platelet adhesiveness;  This increases the chance of stent thrombosis by 35% during re-endotheliasatation.  Stent thrombosis mortality is 25-40%. Antiplatelet therapy during surgery  Addressed broadly in two distinct categories  In first case patient needs PCI but in near future (with in 1 year of PCI) there is need of surgery (planned surgery).  In second case patient has undergone stent implantation. (unplanned surgery ) Planned surgery  Stable CAD  Do surgery and postpone PCI  Unstable CAD  Consider PCI if possible postpone surgery.  If the need of surgery is early than plane balloon angioplasty  In case stent becomes needed during PCI than bare metal stent (BMS)  If surgery can be postponed more than one year than drug eluting stent (DES) can be placed. Unplanned surgery, Patients on aspirin alone  Aspirin for primary prevention  Primary prevention patient has risk factor for CAD or cerebro- vascular disease CVA, hypertension diabetes but no single episode yet  Stopped 7 days before surgery and reinstated soon after surgery when post operative bleeding is not expected without much hurdles Unplanned surgery, Patients on aspirin alone  Aspirin in secondary prevention  These patients are the one with ACS, CVA or any type revascularization. In these it is advised to continue aspirin through the surgery without stopping. Except in surgery in a closed space, i.e. intracranial or intra-spinal surgery where aspirin is also stopped. Unplanned surgery, Patients on aspirin and clopidogrel  These are grouped into high risk and low risk patients. Unplanned surgery, Patients on aspirin and clopidogrel  Low risk is the one with BMS, ACS and CVA more than 6weeks. Clopidogrel is stopped 5 to 7days before surgery and aspirin continued. Clopidogrel is restated with 600mg of loading soon after surgery. Unplanned surgery, Patients on aspirin and clopidogrel  High risk are those with less than 6 weeks following ACS, CVA and BMS and less than 12 weeks following DES  In general surgery is postponed in this situation  If mandatory than continue aspirin and also clopidogrel through surgery, except in neurosurgery where clopidogrel is stopped and aspirin is usually continued Patients on prasugrel and aspirin  It is wiser to replace prasugrel for clopidogrel  Use cangrelor Cangrelor for bridging during surgery, BRIDGE trial  Cangrelor is intravenous reversible P2Y12 inhibitor, this drug can be replaced for clopidogrel before surgery.  In BRIDGE trial during the treatment period platelet reactivity was lower in the Cangrelor group i.e. PRU less than 240; 98.8% versus placebo19.0%  Although excessive CABG --related bleeding occurred in 11.8% Cangrelor group versus 10.4% placebo P = .763, not statistically significant. Low molecular weight heparin (LMWH)  LMWH can be used instead of clopidogrel before surgery. Small observational studies have shown increase chance of bleeding. GP 2B/3A inhibitors  can be replaced for clopidogrel but no studies to claim benefit Optical coherence tomography  OCT can be done, with this approach re-endotheliasatation following stent placement is confirmed, after confirmation of re-endotheliasatation, dual Antiplatelet therapy is stopped and surgery is done.
Просмотров: 819 Dr Umesh Bilagi
What medications should I continue or stop taking before a colonoscopy?
Learn more about colonoscopy at http://www.YouAndColonoscopy.com In this video, Dr. Gelrud and Dr. Echavarria explain which medications should be continued, which ones should be adjusted in dosage, and which ones should be stopped before your colonoscopy. Be sure to tell your doctor well ahead of your colonoscopy about any regularly prescribed medications you are taking and any health conditions or allergies, as this information needs to be shared when you are booking your procedure. It is very important that you talk about this early and not the day before or the day of your procedure. Some medications may need to be adjusted prior to your colonoscopy, such as insulin, heart medications, or blood thinners. For your individual case, you should ask your doctor if you should continue with, adjust, or stop these medications.
Просмотров: 301 You and Colonoscopy
Bleeding & Bruising with Injections and Rhinoplasty Surgery
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
DVT'S & ARTHRITIS- My Leech Therapy 'how to' clip 1 of 2
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.
Просмотров: 10630 32f3245f4
The blood thinning medication Eliquis has been linked to uncontrolled bleeding events, but with no antidote. Learn about what severe side effects are possible, and what steps to take if your doctor has recommended that you take Eliquis. For more information, visit our website at http://www.lawmed.com/. And don't forget to watch our other videos at http://www.youtube.com/hensonfuerst/. (Principal office of Henson & Fuerst, PA: 2501 Blue Ridge Road, Raleigh, NC 27607) I’m David Henson, a partner with HensonFuerst Attorneys. I want to talk with you today about one of the newest blood thinning medications, Eliquis, which is being marketed as an alternative to warfarin (or Coumadin), which has been around for decades. However, warnings about Eliquis are similar to those made against two other blood thinning medications: Xarelto, and Pradaxa, which recently announced a $650 million dollar settlement for patients who were injured by that medication. First, a little background: Eliquis can be prescribed for a number of conditions, but the most common is to reduce the risk of blood clot injuries, such as stroke, deep vein thrombosis (DVT), or pulmonary embolism (PE). In particular, it has been given to patients with Atrial Fibrillation, and those who are recovering after knee and hip replacement surgery. The problem is that Eliquis has been linked to serious internal bleeding, which could lead to injury or death. And once bleeding starts, there is no antidote—no way to stop the bleeding. So, what does this mean for you? If a doctor offers to prescribe Eliquis, or if you are currently taking the medication, ask about these reports of serious bleeding, how the increased risk may affect you, and whether Eliquis is, indeed, the best option for you. In addition, I would also ask if there are other options available that will help you, WITHOUT the risk of uncontrollable bleeding. If you believe that taking Eliquis has led to gastrointestinal bleeding, hemorrhagic shock, bleeding on the brain, severe bleeding requiring a hospital stay, or death…for you or a loved one, call HensonFuerst Attorneys for important information about your rights. You may be able to collect compensation for the injury or death caused by Eliquis. One final piece of free legal advice: DO NOT contact the manufacturers—including Bristol-Myers Squibb, or Pfizer…and DO NOT SIGN ANY RELEASES OF YOUR MEDICAL RECORDS to any company before you talk with a lawyer. Let a lawyer handle everything. Big corporations look out for their own financial interests, not the interests of people who may have been harmed. If you have questions regarding your legal rights, then give me a call at 1-800-4-LAWMED. Or, visit our website at lawmed.com for more information. Life Doesn’t Wait…get help today. Call HensonFuerst.
Просмотров: 6757 Henson Fuerst
Life After Heart Valve Replacement Surgery
Robert Goellner, a patient of Newark Beth Israel Medical Center, discusses his life before and after Heart Valve replacement surgery.
Просмотров: 102671 RWJBarnabas Health
Antidepressants Increase Adverse Reactions in Surgical Patients
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: 624 DoctorSaputo
20 - Rules warfarin, pregnancy, dosages for children_ Cautio
20 - Rules warfarin, pregnancy, dosages for children_ Cautio(2)
Просмотров: 785 solaltech
5 Things to Know Before Surgery - The Nebraska Medical Center
Surgery, even a minor procedure, can be an important and sometimes stressful event. But there are some things a patient can do before surgery to make it easier on patient and surgeon alike. Dr. Timothy Kingston outlines 5 things everyone should know before surgery; things like "Ask your surgeon questions." For more information, call The Nebraska Medical Center at 1-800-922-0000 or visit http://www.nebraskamed.com.
Просмотров: 2912 Nebraska Medicine
How Does Heparin Work On Blood Clots?
Heparin injection medlineplus drug information. There are three main forms of anticoagulant you may encounter during treatment heparin, low molecular weight jul 1, 2011 the goals treating pe to stop blood clot from getting bigger and keep once warfarin starts work, heparin usually is stopped however, they do not break up or dissolve existing clots. Warfarin takes longer to start working than heparin injections, but as blood clots can cause problems such deep vein thrombosis (dvt). Htm url? Q webcache. Pulmonary embolism treatment nhs choices jul 13, 2015 instead, they alter chemicals in the blood to prevent clots forming easily. Uf heparin works quickly to prevent your blood from forming clots. However, it takes a few days for warfarin tablets to work fully how often will my blood be tested and what does the test mean? Warfarin interferes with body's ability make clot (see work? ). Thrombophilia does not always require treatment but some people need to take aspirin or anticoagulant medicines are either given by injection (eg, heparin) can be taken as a tablet. Some are essential to make our site work properly, others perform other mar 10, 2015 blood platelets actually fragments of cells meaning they don't antiplatelet agents, including aspirin, clopidogrel, dipyridamole and ticlopidine, by anticoagulants, such as warfarin (coumadin) heparin, slow clot the most important effective thing a survivor can do is take their. Do not smoke or drink alcohol while taking anticoagulants feb 7, 2007 how does heparin injection work? Heparin sodium is used to treat blood clots that have formed abnormally inside the vessels they do break up an existing clot. Sometimes the process does not work correctly, and a clot forms in blood vessels, iv heparin works rapidly; Within minutes of receiving it, most patients have uf cost lot. Heparin is also used before surgery to reduce the risk of blood clots. The effect of uf heparin can be used to treat or prevent a deep vein thrombosis. This allows the normal body systems to dissolve clots that are already formed heparin injection is an anticoagulant. Coumadin, warfarin, and blood clots clotcare. Preventing and treating blood clots anti clotting agents explained american stroke association. Warfarin (coumadin) and daily blood tests to ensure heparin is working prevent clots aug 15, 2013 used from forming in people who have certain it works by decreasing the clotting ability of. Blood heparin injections are safer for the baby because this medication does not cross placenta into baby's treatment of thrombosis blood clots stoptheclot article142. Uf heparin gets into the blood quickly. When used for treatment, heparin prevents new blood clots from forming and existing getting larger. Do not use more or less of it often than prescribed by your doctor pictures heparin (heparin), drug imprint information, side effects for the patient. Heparin does not reduce pregnancy complications, and may anticoagulation (blood thinning) in
Просмотров: 548 Wen Wen
Pulmonary Thromboendarterectomy
A Department of Cardiovascular Surgery Grand Rounds from the Icahn School of Medicine at Mount Sinai presented by Dr. Ramachandra Reddy. At the end of this video, viewers will be able to: Comprehend the work up for Pulmonary Thromboendarterectomy (PTE). Recognize the indications and techniques for Pulmonary Thromboendarterectomy (PTE).
Просмотров: 1618 Icahn School of Medicine
Tattoo While On Blood Thinners !!! It's Not Only Possible But It's Painless & Easy!!!
Actually, the tattoo of my barbed wire was done prior to my heart surgery and I was just looking to have one barb colored in red to honor my grandmother but the artist who did the work asked how long I had the tattoo and I told him only about 9 years, he looked shocked!!! It was faded so bad that it looked like it was at least 15-20 years old he said. So technically I got a cover up which is much harder to do and most often more painful. But the reason it faded is because he went to deep with the needle. Tattoos should never hurt unless you are having one that is on your bone. Tattoos on your feet will absolutely hurt no matter how good the artist but there is no reason to experience pain in your arm, shoulder, back or chest. The chest may hurt a little because it is a delicate area and you are going on to your breast plate but it will feel more like stinging than actual pain. It's perfectly fine to get a tattoo wherever you want no matter the circumstance. When I had my big chest tattoo done, it was a two session job and my pro time level was a 3.6, meaning that my blood was very thin and I should have bled like a stuck pig every time he put that needle into me but you know what, I didn't bleed, not a drop. He told me that he had healthy people he worked on that bled more than I did. So when a doctor tells you that you can't have a tattoo because you are on blood thinners it's because they read that out of a text book and know nothing about how tattoo's really work. So in my opinion, after everything I have through, and it's been a lot, I say if you want to get a tattoo then get one. Just make sure that you find the right person who knows what they are doing. And the advice he gave me on how to maintain and take care of the tattoo was far better than what the so called professional ever mentioned!!! Best of luck to you, I hope to here your stories, comments and thoughts and am curious if anyone else has gone and had tattoos while on blood thinners and wonder how it went. Please share your stories, love to hear from you.......
Просмотров: 9794 The Medical Mystery