Heparin drip for afib? confused | Student Doctor Network
2004年4月10日 · I don't think I ever saw therapeutic subQ heparin used for the treatment of acute afib, and looking through the cardio literature for the last few guidelines about afib don't seem to take a stand on drip versus subQ, other than to say that afibbers need anticogualtion of some kind, those with multiple risk factors as mentioned before (and by now you should know these …
Warfarin and heparin | Student Doctor Network
2010年5月20日 · the guidelines say use LWMH 1g/kg SC bid (IV UHF if CrCl<20, or hemodynamic instability). You start warfarin when PTT is therapeutic or in some cases after 1st dose of LMWH and overlap x 5 d with heparin with a goal INR of 2-3.
Lovenox in Afib | Student Doctor Network
2004年10月11日 · If you use lovenox, the patient is going to have to wait 2-3 days at a minimum. Same with new onset afib. In PE, I want to know for certain the patient is fully anticoagulated. I assume that you are admitting the patient to medicine or ICU and the call for lovenox or heparin should be up to the admitting service. In pts with DVT, same thing ...
Afib with RVR: admit or r/o in ED | Student Doctor Network
2011年10月23日 · I think this should be admitted. as to whether it goes to medicine or cardiology I guess is program/hospital dependent. guideline recommended evaluation for afib includes: A chest radiograph to detect intrinsic pulmonary pathology, thyroid, renal, and hepatic functions, serum electrolytes, and cbc be measured at least once in the course of evaluation.
coumadin and afib | Student Doctor Network
2010年9月3日 · you don't bridge with UFH or LMWH unlike in DVTs or PE, why is that? and in the middle of the night cross cover for afib, what is your drug of choice...
Bridging and Warfarin Initiation | Student Doctor Network
2022年11月8日 · I have been taught that it is indicated to initiate bridging anticoagulation when starting warfarin on high risk/Chads2Vasc patients with newly diagnosed afib. I know of the BRIDGE trial with recommendations by a ACCP and ACC on bridging off of warfarin with high risk afib to surgery, but I’ve never been able to find any papers to suggest ...
Treatment of Acute Afib with RVR | Page 2 - Student Doctor …
2021年2月16日 · very variable, only like a 30% chance to convert with a good load of amiodarone. it depends on a lot of things including how remodeled their atria are, the underlying substrate (DMII, HTN, COPD, OSA, etc), EF/LV dilation, cause of AF (eg primary vs secondary), etc etc. Generally, the more normal...
LMWH "rebridging"... | Student Doctor Network
2003年6月23日 · Forums. Communities Pre-Med Medical Resident Audiology Dental Optometry Pre-Med Medical Resident Audiology Dental Optometry
Afib with RVR: admit or r/o in ED | Page 2 - Student Doctor …
2012年3月17日 · New onset ( 48 hours that needs bridging.
Disagreeing with a doctor | Student Doctor Network
2014年2月8日 · Patient just admitted to hospital and on warfarin for afib so goal inr 2-3. Also history of intracranial bleeding. Most recent inr taken 8 hours ago is 3.8. Dr orders full dose heparin drip. Warfarin on hold. Pharmacist refuses to verify the heparin order but dr insists their attending wants it...