WEEK 5
Unit 5: Discussion 2-PEER RESPONNSE
Anti-coagulant Therapy
Hello Rose,
I think your plan to start the patient on an anticoagulant makes sense.
I wonder
why choose one anticoagulant therapy over another. Why is wayfarin a good choice
for this patient over other anticoagulants . So I started to think about what I know
about these medications and how they might effect this particular patient .This
patient has diabets, hypertensionand some unkonwn arrythmia. I know that
diabetes effect kidney function and this patient has suffered for more than 20 years
so their kidneys may be effected . Hypertension can cause bleeding when given
with anticoagulants particularly intracranial hemorrhage.
We cant take this risk.
Warfarin is an anticoagulant that could cause this however oral anticagulats will not
cause tis. Warfarin works best when there is a mechanical heart problem . This
patient has an
arythmia so the best anticoagulat would be an oral anticagulats
such as eloquis.
Eloquis also doesn't potentiate kidney issues.
(January et al.,
2019; Kearon et al., 2016).
January, C. T., Wann, L. S., Alpert, J. S., Calkins, H., Cigarroa, J. E., Cleveland, J. C., ...
& Yancy, C. W. (2019). 2019 AHA/ACC/HRS focused update of the 2014
AHA/ACC/HRS guideline for the management of patients with atrial fibrillation.
Journal of the American College of Cardiology, 74(1), 104-132.
