I****a
发帖数: 407 | 1 You are right. I fully agree with coumadin的低价和可逆性还是不可取代的. This
is a medication that almost has no other side effects except bleeding risk
that can be prevented with patient's compliance and physician's vigilance.
Coumadin is a very successful drug because we can tell whether our patients
are compliance or not and most of healthy care places have the military
like mentality to deal with over or under dosing. Imagining if coumadin
patients switch to oral direct thrombin inhibitor. How are we goin... 阅读全帖 |
|
d*******s
发帖数: 15155 | 2 【 以下文字转载自 Pharmacy 讨论区 】
发信人: dearbulls (CiTY HuNTeR), 信区: Pharmacy
标 题: “Coumadin” Rap Song
发信站: BBS 未名空间站 (Mon Jul 7 15:33:43 2014, 美东)
我同事做的，看着挺有意思，分享过来看看。
目前浏览量七万多，他说viewer过１０万，他就去把Coumadin的Tattoo纹在自己身上．
不转真对不起他啊，LOL．欢迎扩散．XD
http://www.youtube.com/watch?v=Mfk05IFfW48 |
|
j******e
发帖数: 50 | 3 I don't know if coumadin is more efficacious than heparin or not, but I don'
t think so. They work differently and are used for different indications
We don't want patients to stay away from spinach or green leafy vegetable,
we just want them to be consistent.that being said, if they have been eating
green leafy vegetable everyday, we want them to keep doing it.
I actually hate when patients tell me that they are not allowed to eat green
leafy vegetables anymore. This is a myth.
You can still ta... 阅读全帖 |
|
A*******s
发帖数: 9638 | 4 我们经常看到一些病人， INR或高或低， 即使病人没有compliance的问题， 避免了绿
色蔬菜， 没有抗生素的干扰， 等等， 他们还是有很多问题。
INR太低， 无效； 太高， 出血。 coumadin的管理实际上是一个liability的问题，
lawsuit听说过不少。
尽管现在有了新一代的替代物， coumadin的低价和可逆性还是不可取代的。
最近在一次会议上一个以色列医生谈到用低剂量vitamin K来控制INR的不稳定性， 我
问了他剂量的问题， 他说不出来， 看来他不是实践者。 他只是提了几篇paper， 大
家有这方面的经验吗？ |
|
w***0
发帖数: 222 | 5 clinically there is still no perfect way to keep INR in fixed range besides
frequent self check or lab check, weekly, monthly, depending on what exactly
your clinical judgement is. Portable INR monitor did give a lots of
advantages. that has been set.
The adjusctment of Coumadin dosage is the physician job; it is disease
dependent. Some needs to be ~2.5; some ~3.0; or whatever the physician wants
it to be.
Based on the mechanism, using Vit K for coumadin adjustment for clinic INR
is a bit surpri... 阅读全帖 |
|
A*******s
发帖数: 9638 | 6 A good read. But it only explains why coumadin dose has to be individulized
. It does not answer how to solve the INR fluctuation in same person.
metabolism of vitamin K and coumadin. |
|
d*******s
发帖数: 15155 | 7 华法林（英语：Warfarin，又名华法令、可迈丁或灭鼠灵）是一种只可口服的抗凝血素
，学名为苄丙酮香豆素，一般都以苄丙酮香豆素钠来储存及处方，较著名的品牌有
Coumadin®。由于其化学结构与维生素K非常相似，所以能够干扰血液素的运作，
降低患者血液凝结的风险。不过也由于它的强效，一般只会处方与血凝结风险比较高的
患者使用，比如心律不整或者有人工心脏瓣膜的患者。
据说是从老鼠药里提取的抗凝药，很高大上啊． |
|
|
d*******s
发帖数: 15155 | 9 华法林（英语：Warfarin，又名华法令、可迈丁或灭鼠灵）是一种只可口服的抗凝血素
，学名为苄丙酮香豆素，一般都以苄丙酮香豆素钠来储存及处方，较著名的品牌有
Coumadin®。由于其化学结构与维生素K非常相似，所以能够干扰血液素的运作，
降低患者血液凝结的风险。不过也由于它的强效，一般只会处方与血凝结风险比较高的
患者使用，比如心律不整或者有人工心脏瓣膜的患者。
据说是从老鼠药里提取的抗凝药，很高大上啊． |
|
w***0
发帖数: 222 | 10 interesting to know and I am sure what you posted are very much true.
Question is ----
is it really clinically doable or just scientifically meaningfully possible?
personally, never saw/read a single case managed with Vit K + Coumadin,. Not
aware of a clinical trial on such combined therapy ongoing as well.
"Never saw" does not mean never exist. I'll check it up. it might be
something worth to know. after all, have a INR diary is a big hassle to
everyone. |
|
|
T*R
发帖数: 36302 | 12 除了人口老龄化这些因素以外，还有一个因素也加剧了血的需求，就是新一代抗凝血药
的应用。
以前骨科术后，还有房颤和血栓病人，一般都服用华法林（Coumadin）预防血栓。但是
Coumadin是高风险药，而且血药浓度不稳定，治疗窗口比较窄。所以第一住院时间延长
，第二平时病人还要定期去抽血化验检查血药浓度。
但是coumadin有一点非常好，就是有antidote，就是维生素K。如果Coumadin过量，可
以给vit k降低出血概率。当然vit k也很危险，所以一般和血浆置换结合着用。
抗凝血药是一个非常大的市场，bigpharm看到华法林的成功，就试图开发出新一代抗凝
血药。新一代抗凝血药确实成功上市了，它们比Coumadin方便很多，很多病人头一天还
在接受静脉肝素治疗，第二天开始口服eliquis，xeralto等新药后马上就可以出院，而
且回家后不用去医院抽血化验，医生现在也越来越aggressive地开这些药，除了传统的
应用，现在有些医生甚至让病人服用这些药来预防中风。
听起来很美好吧？但是不知道你们有没有注意收音机电视里的那些律师广告，除了传统
的和石棉相关的肺癌广告，这... 阅读全帖 |
|
A*******s
发帖数: 9638 | 13 来自主题: Medicalpractice版 - 语言的艺术 与病人和同行交流的艺术恐怕是医学实践中最难的。
很多时候，我想跟病人说一个事，但往往说了别的，尽管意思还是一样， 比方说：
我恐怕得扎你几次才行。 实际上病人很胖，扎静脉实在太难，但我不能直接说“你太
胖了”
有的时候我实在想对病人说，你这个病是精神方面的。可话到嘴边，却说不出来，换成
你的病是非器质性的，所有的检查都正常。
曾经有一个92岁的病人，我怀疑是cardiac embolism，想给他上coumadin， 可考虑到
他的年龄和coumadin副作用，我不知道该如何做才好，于是我让cardiology做一个TEE
， 如果没有血栓，我就可以不上coumadin。 结果cardiology说，他们对这么年纪大的
人做TEE觉得不舒服。 这个病人的家庭医生年龄很大，跟我关系很好，他对我说，
cardiology是觉得coumadin不是个好主意，所以用这个借口来委婉表达他们的意思。
我其实同意他们的看法，所以与家属沟通后，治疗就以comfort measure为主了。
大家有自己的经验可以分享吗？ |
|
A*******s
发帖数: 9638 | 14 Either is fine, it depends on patient's condition, eg, a-fib.
Medicine is science, but science is not all medicine is about. We used to
use Coumadin for non A-fib related stroke, but studies show aspirin does
same as Coumadin w/o coumadin's high risk of bleeding. This is so called
evidence based medicine.
Regarding LZ's question, the answer is not in the pharmacology, or pathology
, or biochemistry. Simply go online, google the DVT, found out those
clinical trials and learn what evidence base... 阅读全帖 |
|
A*******s
发帖数: 9638 | 15 1. 糖尿病， 肥胖， 打大剂量胰岛素， 血糖控制差， HgA1c 13。
问： 是否锻炼身体？
回答：没有力气锻炼
问： 是不是注意饮食？
回答：不是打着胰岛素吗？
2. 冠心病，中风， 吃抗凝剂coumadin， 现在再次中风
问：为什么吃抗凝剂coumadin？
答：因为十年前心梗加中风
问：为什么还抽烟？还这么多， 1天2包, 抽烟是引起再心梗和中风的主要原因。
答：不是吃着抗凝剂coumadin吗?
3. 急性心梗， 第二次。
问：上次心梗医生跟你说什么原因吗?
答：家族性高血脂。
问：你家人说你还是吃很多french fry和炸鸡
答：我不是一直吃降血脂药吗？
大家接龙。。。 |
|
A*******s
发帖数: 9638 | 16 Since you are worried about Vitamins, and Vitamin K is an antidote of
Coumadin, why don't just stop vitamins first instead of Coumadin. I assume
he takes Coumadin for serious medical condition. |
|
A*******s
发帖数: 9638 | 17 Since you are worried about Vitamins, and Vitamin K is an antidote of
Coumadin, why don't just stop vitamins first instead of Coumadin. I assume
he takes Coumadin for serious medical condition. |
|
l*******n
发帖数: 68 | 18 Treatment for deep vein thrombosis is anticoagulation, i.e, taking blood
thinning medication, such as coumadin. Since it usually takes five to seven
days for coumadin to become effective, patient usually needs to take heparin
(intravenous injection) or lovenox (subcutaneous injection) for few days.
IVC filter is indicated if patient fails anticoagulation or patient can't
take blood thinning medications due to complications and/or side-effects
from the blood thinning medications. The function of |
|
yf
发帖数: 272 | 19 heparin drip and then coumadin
or low molecular weight heparin(fragmin or lovenox）and then coumadin if pt'
s renal function is good.
check PT/INR q weekly in the first month if stable, change to every month.
Need very good compliance and regular follow up. The course of treatment is
dependent on the cause of DVT or PE |
|
y******a
发帖数: 590 | 20 5 min is too short for any guidelines. How about some new medications? For
example, pradaxa, it's relative new for anticoagulation in a fib. U can
start from CHASD2 score, then go to coumadin and pradaxa, talk about
mechanism and contraindications of pradaxa, its advantage and disadvantage
comparing to coumadin and how to reverse its effect when pts have bleeding,
etc.
community hospital的住院医和attending。多谢！
★ Sent from iPhone App: iReader Mitbbs 7.18 - iPad Lite |
|
z**b
发帖数: 293 | 21 周二早上上班，夜班护士问我：你有没有给xxx床的病人coumadin. 我很惊讶的说 ：那
不是bedtime的药吗，是你该给的 我当然没有给了。我都没有sign那个药。然后她告诉
我说，她发药时病人说是你给过她了。我说没有，不过这个病人 很不爱吃药。那个护
士take notes 说病人拒绝服药。 我以为事情就这样过去了。
周二晚上回家，老公说你有一个电话留言。 听了: Good morning, This is xxx over
xxx hospital at 1235am ,i am calling to ask whether or not you give Coumadin
to xxx patient, please call back ASAP. 这才知道医院周二凌晨快1点时给我打电
话了，因为当晚老公拔了电话线，所以我没接到。那个护士是个floating 护士，她并
不知道我的家里电话，推断她应该是report 给什么suporvisor, 拿到我的号码，（电
话并不是那个护士本人大的）。因为我当晚没有接到这个电话，没有立即回复，那个护
士上晚夜班就走了，可是她repo |
|
g****i
发帖数: 2269 | 22 it is not your business for coumadin. Pt lied to night shift. Just talk to
your manager or supervisor.
over
Coumadin |
|
j******8
发帖数: 7 | 23 重写医生的order，大家帮我看一下对不对？Teacher helps, please. Thank you very
much.
PT:9.INR:1.2.Increase Coumadin 5mg po Qd to Coumadin 10mg po Qd. next PT/INR
on Wed. |
|
s*******y
发帖数: 1739 | 24 当版主有一段日子了，说实话我不是个称职的版主，主要我对网络的应用了解太少，
到现在都不会弄精华区，而且一直上学上班，又有小朋友，在这里向大家表示深表歉意
，同时也把位置让给有能力的MM，可以更好的管理好我们的护士版。有哪位MM愿意接任
版主职位，能否给我提前投个条啊，我不想护士版没有版主的日子在我卸任后发生，请
MM 们勇敢地站出来，我一定会全力支持的。
好了言规正传，在离任前给护士版再作点贡献。版上多是RN 考试，很少涉及NP
CERTIFICATION 考试，现在版上读NP的越来越多，那么我就来抛砖引玉一下，谈谈NP
的认证考试。
大家都知道NP SCOPE，法律法规因为是州内来，所以NP 的执照也是州内颁发的，所
以NP 的考试并不是 BOARD OF NURSE 统一出题，而是交给了有认证资格的NON-
GOVERNMENT 来全权负责。一般来说大部分州都对 AANP 和 ANCC 承认，如果你是学FNP
，ANP （或 AGNP），PNP，那么这两个考试你可以任选其一就没问题，因为我学的是
ACNP （以后会改叫AGCNP）， 所以只能考ANCC 的考试，我... 阅读全帖 |
|
o******h
发帖数: 198 | 25 即日起 大家有空发一些匿名的病历讨论吧 熟悉一下病历书写和缩写吧
有不懂的可以提问 有工作经验的同学路过可以帮助回答
回帖的同学 第一部分请写你的问题， 第二部分请写你知道的答案 谢谢!
不会念医学单词的可以查这个 没有声音的 按允许pop up插件即可
http://www.merckmanuals.com/home/resources/pronunciations/index
xxx year old F with a pmh significant for dementia,asthma, dvt, pe in 2011,
htn, osteoporosis, rectal bleeding, new dvt rt. Leg 03/31 restarted on
Coumadin and lovenox, non verbal sent from NHF on 4/3 for drop in H/H 7/23.
On arrival V/S: 153/51, 74, 20, 99.4 and o2 100% on ra. Awake and non verbal
, neuro... 阅读全帖 |
|
f******w
发帖数: 10267 | 26 pat pat。你已经尽了全力了。我原来的邻居，家族有心血管疾病史，她一直在
coumadin上，两年前的春天，得UTI尿血很厉害，医生就把coumadin拿掉了，老太太几
周以后stroke，还好送医院后病情控制住保了一条命，但是大脑严重受损，语音能力基
本没有了。
her. |
|
f******w
发帖数: 10267 | 27 pat pat。你已经尽了全力了。我原来的邻居，家族有心血管疾病史，她一直在
coumadin上，两年前的春天，得UTI尿血很厉害，医生就把coumadin拿掉了，老太太几
周以后stroke，还好送医院后病情控制住保了一条命，但是大脑严重受损，语音能力基
本没有了。
her. |
|
A*******s
发帖数: 9638 | 28 学习了。
可能最重要的是 warfarin 就是 coumadin。 很多病人不清楚， 问他们有没有吃
coumadin， 说没有， warfarin呢？ yes！反过来也一样。 |
|
A*******s
发帖数: 9638 | 29 学习了。
可能最重要的是 warfarin 就是 coumadin。 很多病人不清楚， 问他们有没有吃
coumadin， 说没有， warfarin呢？ yes！反过来也一样。 |
|
a*******n
发帖数: 82 | 30 78 yo female was transferred for evaluation of torsades. The patient has one
year history of AF and has been taking amiodarone and coumadine. For the
past 5 months, she has been feeling severe nausea. She was admitted to xxx
Hospital for evaluation. There, her Hgb was 7.8 and TSH was over 40. Then
Amiodarone was stopped for presumed toxicity to thyroid gland. And coumadin
was stopped for suspicious GI bleeding. Levothyroxine was started.She was
also given 2 units of pRBC. EGD was done and found ... 阅读全帖 |
|
a*******n
发帖数: 82 | 31 78 yo female was transferred for evaluation of torsades. The patient has one
year history of AF and has been taking amiodarone and coumadine. For the
past 5 months, she has been feeling severe nausea. She was admitted to xxx
Hospital for evaluation. There, her Hgb was 7.8 and TSH was over 40. Then
Amiodarone was stopped for presumed toxicity to thyroid gland. And coumadin
was stopped for suspicious GI bleeding. Levothyroxine was started.She was
also given 2 units of pRBC. EGD was done and found ... 阅读全帖 |
|
h*******l
发帖数: 1542 | 32 维生素K拮抗剂
【中文名】华法林
【英文名】Warfarin Sodium
【类别】血液系统药\抗凝血药
【别名】 苄丙酮香豆素钠;华法令钠;华福灵;苄酮香豆素钠 ,华法林钠,华法林,苄丙酮
香豆素
【外文名】Warfarin ,Warfarin Sodium, Athrombine, COUMADIN, PANAWARFIN,
WARFILONE,Coumadin
【药理作用及用途】 维生素K拮抗剂，可抑制肝合成有功能的凝血因子Ⅱ、Ⅶ、Ⅸ、X
。本品服后，2～7天起效，与肝素不同，在体外无抗凝作用。本品能通过胎盘，不通过
乳汁。 用于防治血栓栓塞性疾病。
【适应症】
1.防治血栓栓塞性疾病，可防止血栓形成与发展，如治疗血栓栓塞性静脉炎，降低肺栓
塞的发病率和死亡率，减少外科大手术，风湿性心脏病、髋关节固定术、人工置换心脏
瓣膜手术等的静脉血栓发生率。 2.心肌梗塞的辅助用药。 |
|
A*******s
发帖数: 9638 | 33 It depends. Some Docs start coumadin 2-3 days after the stroke. You have to
consider someone may need a G-tube so coumadin may not be started too early
. |
|
e******e
发帖数: 118 | 34 Pt with afib not on anticoagulation before came with TIA, chads 4, in terms
of A/C, do you start coumadin right away or birding lovenox first?
I know if it is just afib requiring A/C, we can just start coumadin; if it
is just TIA, no need for A/C. What about the above scenario?
Thank u for ur input. |
|
e******e
发帖数: 118 | 35 Thank u for the explanation. What if for pt with chronic rate controlled
afib who is coumadin naive, do u bridge or no? I see a lot of doc start
coumadin directly w/o briding. |
|
u***e
发帖数: 611 | 36 Why does he have hypercoagulable state? He needs to be on Coumadin and goes
to Coumadin clinic regularly. Most insurance will cover that. |
|
r*****2
发帖数: 309 | 37 虽然不是血液科及神经科的，但现实生活中遇到不少有趣的病例牵涉到神经及血液。TM
在这么小的小孩中发病比较少见。儿童不用coumadin抗凝是因为小孩的代谢旺盛，很
难控制INR在合理的范围内。我们有个两岁的不得不换二尖瓣，用Coumadin. 那小孩三
天两头住院，INR一会儿低了，一会儿高到超过9.现在对他的名字熟得都能倒背如流。
Lovonox在儿科中还是首选。 我不想对对这小孩的诊断发表啥评论，因为医患关系还是
个面对面的人与人接触的关系，没看到病人，没有第一手的体检信息，光靠实验室数据
就能诊断，以后计算机就可以
取代我们了。 还是考虑最常见的因素：感染，排除先天性异常（导致的高凝状态）为
先，在考虑其他因素：神经科，自身免疫等等。 |
|
o***s
发帖数: 42149 | 38 近年来，一些来自外国的“神奇果汁”在微信朋友圈里悄悄蔓延，兜售的微商常常一边炫耀着“致富神话”，一边大肆宣扬靠果汁就能“治百病”，而这些外国果汁的价格也非常惊人，一箱往往要卖千元以上。
最早进驻中国的诺丽果汁曾被指控虚假宣传，如今诺丽果汁是拥有食药部门批准文号的保健食品，并表示不治疗任何病症。而赞果果汁等“后来者”有的公然宣称有抗肿瘤等种种疗效，销售方式也备受质疑。
反传销人士表示，近年来，包括这类果汁在内的国外保健食品被微商瞄上，多利用信息不对称，将国外某种比较罕见的有营养价值的果汁在国内吹成包治百病的“仙丹”，通过高价销售和发展下线的模式牟取利润。以赞果果汁为例，记者调查发现，各级代理商为了兜售产品可谓绞尽脑汁，一方面向潜在顾客吹嘘可“21天治疗癌症”等医学奇迹，要价8100元一件；另一方面声称通过加盟代理可以月入十万元，并流传着各种以培训为名的视频，“课堂”气氛颇为狂热……
宣称感觉是“包治百病”
赞果果汁在朋友圈的宣传非常夸张，且其国内代理商也比较混乱。
记者找到了一家中文的“赞果官网”，在其常见问题页面，用红色黑体字“解答”了关于赞果的55个问题。首先，赞果果汁是“以专属配方... 阅读全帖 |
|
d*********p
发帖数: 1531 | 39 希拉里、川普将公布详细健康记录
希拉里.克林顿竞选团队的一名发言人星期一表示，将在今后几天里将更为详细的有关
希拉里健康状况的记录公布于众。希拉里竞选班底同时承认，在这个问题上处理得不好
，具体说，就是在希拉里上个星期五被诊断患有肺炎之后，就应该及时向公众公布这一
信息。
希拉里由于身体状况而不得不离开星期天的911纪念活动这一事件，再次将美国总统候
选人的年龄和健康状况、以及公众的知情权 – 就是 the public’s right to know
– 这一话题纳入公众视线。
公众的知情权 – 具体在这个问题上，大家关心的，是某个候选人一旦选上后，身体和
精神状况能不能保证他/她顺利地“完成任务”。
很多人都想当总统，但是大家也都注意到了，无论是上一任美国总统George W. Bush(
小布什总统)，还是现任总统奥巴马，在当总统前和当了几年总统以后，或许“内部”
健康没有变化，但是从外部、或者说是外表来看，头发都变得白了许多；总统也不是那
么好当的，也就是说，对一个人在各方面的要求都是相当高的。
美国的一位医生星期一投书给华尔街日报说，凡是70岁以上的总统候选人，应当将他们
的... 阅读全帖 |
|
g********2
发帖数: 6571 | 40 BREAKING : NEW DETAILS – a Worried Obama Urges “Secret Medical Checkup”
for a Very Sick Hillary
Breaking News By Amy Moreno October 3, 2016
The Daily Mail is reporting that a worried Obama attempted to set up a
medical checkup for Hillary at the Walter Reed National Medical Center.
However, Hillary, fearful of the press discovering her visit, declined.
Obama is probably terrified that Hillary is going to lose and his entire
legacy will be flushed down the political toilet.
That’s what we’re coun... 阅读全帖 |
|
E******r
发帖数: 40 | 41
医
cerebral thrombosis
low dose of asprin (baby asprin). But don't take it long term, because it
might cause GI bleeding, bruises, or even cerebral hemorrhage.
For prescription meds, consult a doc about "anticoagulants", such as Warfarin
(coumadin) or Heparin.
Also, if he is high in cholesteral, Lipitor is an optional medication.
Besides meds, a better life style -- exercise and low-fat-high-fiber diet is
the way to go! |
|
u*****d
发帖数: 1009 | 42 I don't know much about shark cartilage, but there's certainly a lot of
herbal products that mess around with the INR from coumadin/warfarin.
I'd stay away from those if I were the patient. It's hard enough to finally
get an INR stable, and it's not worth it to make it fluctuating again.
If osteoarthritis has become serious, then knee replacement might be an
option. |
|
f******I
发帖数: 769 | 43
probably warfarin, or coumadin, it's a very potent anticoagulant and is used
in rat poison, needs prescription and close monitory as it has quite a
narrow therapeutic window, often is taken under close supervision from your
physician, |
|
c********e
发帖数: 496 | 44 do you have bleeding disorder, or family history of that, or taking
something like Coumadin or aspirin.
if all of above is no, take it easy, you will be fine, some ice cold water
may help, or other vasoconstrictor you have at home. |
|
h**a
发帖数: 108 | 45 Thanks for the replies. From the report, it shows hospital used 64-slice CT,
not sure it is the same as spiral CT.
Even though doctor told me it is not serious but she still put me on lovenox
for one week and coumadin for 3 months.
At the beginning I thought the blood clot is in vein but report shows it is
in artery. Which is more serious, in vein or in artery? How important is the
right lower lobe pulmonary artery?
One more piece of info from the report:
IMPRESSION: The study is positive for pu... 阅读全帖 |
|
y*****g
发帖数: 193 | 46 Don't scare people. Vein thrombus does not cause gangerene or lead to
amputation, arterial thrombus does sometime. However, DVT might migrate and
dislodge to a pulmonary artery which could be life threatening.
Patient might need IVC filter placed to prevent the clot up to the heart
while waiting the body disolve the clot by its own. And follow the clot with
time. If the clot disappears, IVC filter could be removed and blood thinner
therapy could be stopped. Patient might need coumadin therapy fo... 阅读全帖 |
|
EO
发帖数: 57 | 47 上blood thiner, heparin, coumadin,TPA， 还要搞清atrium 怎麽会有血栓形成？最
主要的原因是房颤（Afib).
★ Sent from iPhone App: iReader Mitbbs Lite 7.20 |
|
h***f
发帖数: 162 | 48 there is nothing that can fix a stroke. the first 3 months of rehab are the
most important for establishing a new neurologic baseline.
i have no idea why they gave your father so much iv fluids that he had
trouble breathing, that is way too much fluids, and fluids do not thin the
blood to a significant degree anyway. after a stroke, he should be on
aspirin and dipyramidole. if he has atrial fibrillation, then coumadin
as well.
as for rotting flesh, im assuming you mean pressure ulcers. you have ... 阅读全帖 |
|
n***a
发帖数: 1373 | 49 Anticoagulation (Coumadin) for 3 to 6 months from now if it is deep vein
thrombosis. Compression stockings. Need to be treated right away. |
|
s*****r
发帖数: 2729 | 50 are you talking about DVT(deep veneous thrombosis)?, 哪个要吃COUMADIN哈，偶
不懂，瞎说，凑个包子啦 |
|
