, 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. E., Deckers, J. W., Aarnoudse, A. L., Hofman. A., Franco, O. H., … Stricker, B. H.(2015). ABCB1 gene variants, digoxin and risk of sudden cardiac…
CYP2C19 (like PPIs) might reduce clopidogrel’s effectiveness. 1 Siller-Matula et al conducted a meta-analysis study to evaluate whether PPIs negatively affect clinical outcome (combined major adverse cardiac events, myocardial infarction, stent thrombosis, death and gastrointestinal bleeding) in patients (n=159,138) treated with clopidogrel. Patients use clopidogrel with PPI was associated with a 29% relative risk increase (RR=1.29; 95% CI=1.12-1.53) of combined major cardiovascular events and…
the registered nurse’s failure to rescue were also explored. The study defined patient admissions, transfers, and discharges as turnover. Negative patient outcomes were defined as hospital acquired complications and included pneumonia, deep vein thrombosis (DVT), pulmonary…
Thoracic Outlet Syndrome The thoracic outlet is an area between the clavicle and the thoracic cage, located between the shoulder and the neck (Boezaart et al., 2010). Thoracic Outlet Syndrome (TOS) is a disorder characterized by the compression of neurovascular structures as they pass through the thoracic outlet, resulting in multiple diverse symptoms (Boezaart et al., 2010). By far the most common neurovascular structure affected by TOS is the brachial plexus, with 95-98% cases caused by its…
the catheter with more of a biocompatible material to prevent any inflammation throughout the surgical procedure and introduction of the endoprosthesis stent. This could help reduce the amount of bruising that occurs and also prevent some form of thrombosis during this part of the surgical procedure. Further contradictions to the current innovations of this device include lesions or affected areas that are inoperable or are not affected by the design of this device. This includes situations when…
The condition I have written about is ischemic colitis. Ischemic colitis (IC) is inflammation of the large intestine (colon). Ischemic colitis occurs when there is reduction of blood flow to part of the large intestine (colon), because the blood vessels (arteries) have narrowed or blocked, which then decreases the amount of oxygen to the cells in the digestive system. IC is also known as mesenteric artery ischemia, mesenteric vascular disease, or colonic ischemia. The most dangerous…
Influence of Health Informatics on Health Care Costs The true effects of health informatics on lowering health care costs are still in the process of evaluation. With the focus on quality health care as part of the national health reform, many organizations have been utilizing the health information technology (HIT)to improve the care process and coordination, meet the compliance requirements, and ultimately, lower the health care costs. In Kudyba (2016), it was reported that health care…
stopped. I recall the attending interrupted me from asking my second question. Instead of a reprimand, he commended my inquisitiveness and good clinical judgment. So, we discussed the case, and it turned out that the patient had a history of deep vein thrombosis and was put on heparin by the resident. The dose was then adjusted, FFP was given and there was no recurrences. The attending added later on that I should consider going for IM. His encouragement solidified my interest in…
increased tendency to form clots. Blood clots are known as venous thromboses and they come in many forms linked with different parts of the body. For example, the most common form of blood clots is within the leg veins and this is known as deep vein thrombosis (DTV). The blood clotting process is a simple process in comparison to some of the bodily functions. When a cut to the skin is made or injury occurs where skin is broken, various chemicals within the blood react and form a blood clot which…
Calvin is a very wise man. Very friendly and was a great president to others. Calvin had two sons named John Coolidge and Calvin Coolidge jr. He had acceded the presidency after the death of Warren Harding. He was then the 30th president of the United States of America. Coolidge was in the office from 1923-1929. On July 4, 1872 in Plymouth, Vermont a little boy named Calvin Coolidge. As a little boy Calvin attended in Plymouth Elementary. He graduated in 1895 at Amherst college.He went to…