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[CK] Apixaban(redosing) and transitioning from Warfarin.

1. Apixaban
= 5mg po bid(afib) vs 10mg bid for 7d -> 5mg bid.
(for AFib = redosing)
Age>80
Wt<60
Cr>1.5
= 2/3 = 2.5mg po bid

2.
GFR<25 = contraindication!
(in general <30 = NOAC contraindication)


3.
Transition from Warfarin
INR < 2: start Eliquis

cf> Transfion from Warfarin to Ribaroxaban
INR <3: start Xarelto.

4.
Otherwise
better than Warfarin with lower ICH for afib prevention !!!

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[CK] STEMI_EKG learning.

892 × 548 저작권 보호를 받는 이미지일 수 있습니다.    자세히 알아보기 ECG - Common STEMI Mimics | Grays Integrative Physiology Grays Integrative Physiology Mimics will not produce reciprocal changes. If RCs in related leads, should consider it a STEMI. 방문 추가 컬렉션 공유
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IV, IM, SubQ: Initial: 0.4 to 2 mg; may need to repeat doses every 2 to 3 minutes. A lower initial dose (0.1 to 0.2 mg) should be considered for patients with opioid dependence to avoid acute withdrawal or if there are concerns regarding concurrent stimulant overdose (Mokhlesi 2003). After reversal, may need to readminister dose(s) at a later interval (ie, 20 to 60 minutes) depending on type/duration of opioid. If no response is observed after 10 mg total, consider other causes of respiratory depression. PEAK: 15MINUTES  HALF: 3 HOURS. 
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