[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] Preventing aspiration.

960 × 720 저작권 보호를 받는 이미지일 수 있습니다. 자세히 알아보기 https://www.google.com/search?q=position+to+prevent+aspiration&rlz=1C1GCEV_enUS820US820&source=lnms&sa=X&ved=0ahUKEwjZ8NbnkoDfAhUs4YMKHZhrBM8Q_AUICSgA&biw=1177&bih=859&dpr=1 HOB 30-45 degree. => resting turn head to Rt. side. or lateral position => for seizing or unconsciousness.

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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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[CK] LVAD parameter review. [ ] tree !!

Vital(BP): hypo, hyper. PEx(JVP): volume status -------------------------------- 1st. PI(3-7)= contractility and volume status(high volume only cause high PI) overload = high PI. low volume = low PI. (=low volume = low preload = RV failure, arrhythmia same thing) HTN = low PI low BP = low PI. (only overload cause high PI = with high preload, but otherwise, BP, volume => cause low PI) 2nd. Flow(4-6) overload, 3rd. Power(surge = only thrombus, 4-6) hypotension route (BP) => high VADFL = vasodilator, sepsis = R/O => low VADFL(most common) with high JVP => RV failure, PE/tamponade, pneumothorax , then adjust LVAD(higher) ...

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