Low molecular weight heparin

Taking an evidence-based approach to deep venous thrombosis research studies reveals the clinical practice guidelines are a valuable tool to improve clinical practice and patient outcome. Preventing deep vein thrombosis in the inpatient hospital setting is important to reduce the risk of fatal and non-fatal pulmonary embolism and post-thrombotic complications. Proximal deep venous thrombosis (DVT) can cause post-thrombotic syndrome and can develop into life-threatening pulmonary embolism…

Also a failed intubation drill should be done. The regional anaesthesia is preferred, epidural, spinal in that order. Prophylactic Heparin in the form of low molecular weight heparin [LMWH] should be given post operatively in the dose of 1mg/kg body weight, for prevention of deep vein thrombosis [DVT] and acute pulmonary embolism. Also post operative eclamptic convulsions should be evaluated by CT, MRI and managed by neurologist…

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia with a significant impact in morbidity and mortality (1). One of the well-established treatments for symptomatic atrial fibrillation is catheter-based ablation (2). AF ablation is a complex interventional procedure associated with potential risk of thromboembolic complications as periprocedural stroke or transient ischemic attack (TIA) and cardiac tamponade (1, 2). Approximately, from 0 to 7 % of AF patients undergoing…

Furthermore when NICE were reviewing the evidence the results of this study were considered less significant as the standard mainstay of treatment in a UK clinical setting is a low molecular weight heparin (LWMH) subcutaneous enoxaparin at the a dose of 40mg (NICE 2013). Conversely the results from ADVANCE-2 were weighed. They indicated that Apixaban significantly reduces the manifestation of total VTE and all-cause mortality by 9.3% against…

infant misdiagnosed as supraventricular tachycardia: A case report. Journal of Medicine & Biomedical Sciences, 2(1), 42-45. Jamula, E., Woods, K., Verhovsek, M., & Douketis, J. D. (2009). Comparison of pain and ecchymosis with low-molecular-weight heparin vs. unfractionated heparin in patients requiring bridging anticoagulation after warfarin interruption: A randomized trial. Journal of Thrombosis and Thrombolysis, (3), 266-270. doi:10.1007/s11239-009-0389-0 Niemeijer, M. N., van den Berg, M.…

Wall of Silence Journal One Despite all the medical advancement over the years, medical errors continue to negatively affect patient safety. A medical error is defined as a preventable adverse effect of medical care whether evident or harmful to the patient (Medical Scribe Journal, 2017). Before this course I was aware of how medical errors could easily occur in the medical field. Since the beginning of nursing school, in Foundations, instructors emphasized strongly on safety checks for any…

lower doses.(40) Argatroban is highly protein bound so it is not cleared significantly during hemodialysis. The American College of Chest Physicians guidelines for treatment and prevention of HIT 2012 suggested the use of Argatroban over other non-heparin anticoagulants in HD patients with HITTs.(38) In a research that compared 3 doses of Argatroban in HD patients, the preferred regimen was a 250-µg/kg bolus followed by an infusion of 2 µg/kg/minute at the start of dialysis, with the option of…

saturation is low, 92%, before administration of oxygen. Initial EKG results, though showing some abnormalities, do not show evidence of an active MI. EKG was repeated at 1 hour and showed similar results. Initial blood work including CBC, routine chemistries and cardiac biomarkers were all normal. Because of patient’s history and symptoms, he was admitted to hospital and monitored. His pain was treated with morphine and nitroglycerin. He was also given low-molecular weight heparin.…

How to Prevent Medication Errors There are several ways to avoid medication errors in the healthcare setting. Common mistakes made when giving out medications include disorganization, miscommunication among hospital staff and careless errors. In the following paragraphs I will explain in detail how to avoid medication errors and the importance of excellent communication and interpersonal skills among nurses and patients. I will also clarify the reasons for common mistakes made in the hospital…

care will include prevention of secondary injury as well as wound care (Nayduch, 2010). A prophylactic low molecular weight heparin dose will be given to prevent Deep Vein Thrombosis (DVT), along with sequential compression devices, and compression stockings. DVT prevention immediately after the injury are indispensable in patient management (Matsumoto., et al 2015). Low molecular weight heparin side effects include bleeding, thrombocytopenia, pain at injection site, report any signs of…