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please help - glofriends
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04-02-2011, 05:27 AM
hi would someone please confirm if we give heparin on admission and warfarin to all patients with m.i ? or just in special circumstances?
mtb3 does not mention anythin about heparin use ...and warfarin follow thru
04-02-2011, 05:36 AM
dear gloworm,
hep in only NON st seg elevation MIs. hep is best here. if st elevation give hep but only aft thrombolytics. re the warf.... hell i dunno... all i remember is u just put the poor guy on ASA.... nothin else re warf longterm comin to me.... Cheers! Adrian
04-02-2011, 05:45 AM
according to mtb2 ...
heparin should be given in the tx mi but only after thrombolytics...and he says no about warfarin use...
04-02-2011, 05:49 AM
great! thanks tor !!
hope ur well : ) Cheers! Adrian
04-02-2011, 06:10 AM
ok that clears it..thanks ...
anyone else who would like to contribute ,please do.
04-02-2011, 06:35 AM
according to uw:
anterior wall MI are associated with increased risk of arterial thromboembolism,therefore pts require full dose of heparin followed by 3months of warfarin therapy. @adrian yes im well..doing ck and enjoying your comments(im loving it!!!)...take care...
04-02-2011, 06:41 AM
yeah thats what i have written down in ma notes too ,,,but mtb is not clear on this topic and got me confused....il check kaplan to reconfirm....thanks torsade..
04-02-2011, 06:42 AM
hmmm... so once again mtb and uw sort of contradict each other a bit... i bet we wont be asked controversial things.... thanks again tho for the info!
glad to have you around..! : ) Cheers! Adrian |
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