Afib tx with anticoagulants – Flashcards
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Chronic VALVULAR Afib tx w/ mechanical prosthetic (doesn't involve valves) heart valves
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Use warfarin!!!!
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Chronic Non-valvular Afib
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Depends on Chads2 scoring!!!!
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0 on Chads2
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No therapy or asa 75-325
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1 on Chads2
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Oral anticoagulant (Dabigatran 150 mg BID!!!!) rather than asa, of can't take oral anticoagulant take clopidogrel
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2 or greater
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Oral anticoagulant if can't take that asa or clopidogrel
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Chads2
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ONLY USED IN AFIB TX FOR NON VALVULAR ANTICOAGULATION
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Chads2
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C-heart failure
H-htn
A-age >75
D-DIABETES
S2-STROKE ONLY ONE THAT IS 2 POINTS !!!
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Cardioversion
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Direct current using paddles
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Performing cardioversion during Afib
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>48 or unknown Afib symptoms :tx with anticoagulants for 3 weeks before and 4wks after cardioversion
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Performing cardioversion during Afib
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<48 of Afib symptoms :dp cardioversion, then anticoagulants for 4 weeks
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V in chas2vasc
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Mi,pad,aortic plaque
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Mechanical aortic valve
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2-3
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C in chads
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CHF CHRONIC HEART FAILURE
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C In chads
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CHF CHRONIC HEART FAILURE
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C in chads
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CHF CHRONIC HEART FAILURE
