Elderly patient was on Amiodarone for treatment of chronic arrhythmia. Amiodarone has multiple clinical quirks and unique side effects associated with it. In my mind, it’s definitely a high risk/high reward type drug. The patient had begun to experience some shortness...
I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a little bit the other night about the unique pharmacokinetics (what...
Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet. Big changes in intake of vitamin K can cause an INR to fluctuate. The more vitamin K intake someone has the more INR...
Coumadin is a high risk medication as I mentioned in one of the previous night’s posts. I have the opportunity to frequently review medication errors at dozens of healthcare facilities. Coumadin is a tricky drug to dose and because of this, can sometimes require odd...
hat clot in the heart, big deal…yes, it is. It’s not terribly problematic when the clot is in the heart, the problem comes when that clot breaks loose. The clot breaks loose and the way I picture it is like a marble through a tube. The only problem is the tube...
Coumadin inhibits clotting factors 2,7,9,10 in the body. These clotting factors are actually produced mainly by the liver and obvious promote the production of a “clot” or blood clot. Let’s take the example of Afib – in this condition, because of a change in the...
