• Journal ‘The New England journal of Medicine’ 10th September 2009 volume -361 no.11 • Title - Ticagrelor versus Clopidogrel in Patients with Acute Coronary Syndromes • Authors – Lars Wallentin, M.D., Ph.D., Richard C. Becker, M.D., Andrzej Budaj, M.D., Ph.D., Christopher P. Cannon, M.D.,Hakan Emanuelsson, M.D., Ph.D., Claes Held, M.D., Ph.D., Jay Horrow, M.D., Steen Husted, M.D., D.Sc.,Stefan James, M.D., Ph.D., Hugo Katus, M.D., Kenneth W. Mahaffey, M.D., Benjamin M. Scirica, M.D., M.P.H.
Effective perioperative management of medications requires an understanding of the patient and his or her co morbidities so that the risk of perioperative decompensation can be gauged. This understanding stems from a thorough medical history that includes a comprehensive medication history to provide a complete inventory of the all prescription medications, all over-the-counter agents and all herbal medications. Out of 288 cases collected, 88% were in the age group of 41-80 years. Hypertension and
and antiplatelet drugs appear to have a significant correlation with more severe and recurrent epistaxis 4. Antiplatelet medications specifically aspirin and clopidogrel are widely used in recent years for various forms of cardiovascular disease 3. There is no significant difference in risk of epistaxis in patients taking aspirin or clopidogrel 5. Epistaxis management in
Specific Purpose Statement: To invite my audience to consider the advantages and disadvantages of smoking cigarettes so that they can make an informed decision on whether or not to smoke them Thesis: There are two obvious stances on cigarettes: pro-cigarette and anti-cigarette. Today I would like to explore these two stances and have a discussion about your current views. Introduction: o Attention-Getter: (hold up cigarette) there are two ends to a cigarette, just like there are two sides to what
Blood tests are done daily as per routine. Clopidogrel, Aspirin and Daltaparin are collectively use routinely post-op to prevent blood clot formation. Derangements of clotting factors may result in bleeding and deficient fluid balance. Keep tabs on blood results such as WBC. An increase reading may
An initial dose of 300-600 mg clopidogrel should to be given along with the aspirin (NSW Health 2012). Nursing consideration: monitor for internal and external bleeding and allergies. Heparin: heparin prevents conversion of fibrinogen to fibrin and prothrombin to thrombin. IV bolus of
Please accept the enclosed documents as my application to the Graduate Student Support Program for the 2018-2019 academic year. I believe that I am particularly qualified for the Anne T. Bowling fellowship and hope that my research plan and career goals align with your selection criteria. My collective research experiences from undergraduate, veterinary education, internship, residency training, REACH program, and two years of the Ph.D. study, has shown me that research is an invaluable way to contribute
Migraine sufferers believe that their condition will improve as they age but this is not the case with everyone. Even those who are at the age of 60 and above still experience migraine attacks from time to time. Migraines tend to occur during the early parts of your teenage years or early 20s but it is most likely to occur in those who are in the 30s or 40s. There are studies that show 40% of those with migraines experience less attacks by the time they reach their 60s, especially in women, because
INTRODUCTION Chest pain is the most usual symptom at presentation in patients with acute myocardial infarction (AMI), even if it ishighly subjective, and the pain characteristics, severity and emotional consequences may vary widely.1, 2 An asymptomatic AMI is not necessarily less severe than a symptomatic event. Diabetic and elderly subjects are those who generally present with a lower severity of chest pain and at the same time represent the subgroups of AMI patients withworse outcome.3 Chest pain
family Clusiaceae) is a popular medicinal herb, widely used for the treatment of depression and anxiety. On chronic use, It affect the pharmacokinetic of several drugs (cyclosporine, theophyllin, warfarin, oral contraceptives, digoxin, indinavir and clopidogrel) by inducing CYP 3A4, 2C9 and 1A2 enzymes; results in treatment failure. Also, it has been reported to inhibit the CYP 3A4 isoform, increased
pills" (diuretics such as furosemide), cyclosporine, desmopressin, corticosteroids (ex. prednisone), fluconazole, lithium, pemetrexed, probenecid, methotrexate, tenofovir • Increased the risk of bleeding when taken with anti-platelet drugs (ex. Clopidogrel) and "blood thinners" (ex. enoxaparin, Dabigatran, warfarin) • Medications containing pain relievers or fever reducers such as aspirin and NSAIDs such as ibuprofen and celecoxib. Part 4: What to Do in Case of an Emergency 1. When Experiencing Serious
Study design and study population: It was a prospective, single arm, open label study that included 99 cases admitted to the catheterization laboratory in Wadi El-Neel hospital between September 2012 and September 2014 and diagnosed as having ischemic heart disease with significant coronary artery stenosis necessitating PCI. We included full history, clinical evaluation, Standard 12-leads surface ECG, Echocardiography, ischemia driven non-invasive testing for controversy patients with chest pain
BACKGROUND Nexium is manufactured by AstraZeneca and was first approved by the FDA in February of 2001 in the form of delayed-release capsules for treatment of gastroesophageal reflux disease. Esomeprazole is in a class of drugs known as proton pump inhibitors (PPI). These work by decreasing the amount of acid that the stomach produces.i Proton pump inhibitors are a very popular class of drugs that have accumulated billions of dollars in sales. Nexium was ranked the number one brand name prescription
1. Describe the principal, advantage and limitation of every diagnostic test to detect H.pylori.(1, 2) Test Principal Advantage Limitation Rapid urease test In the presence of H. pylori urease, urea is metabolized to ammonia and bicarbonate resulting in an increase in pH, which changes the color of a pH-sensitive indicator. Tests for active H. pylori infection; >90% sensitivity and specificity. Results are rapid (within 24 hours), and test is less expensive than histology or culture. Withhold H2RAs
Patients are often prescribed proton pump inhibitors (PPIs) such as Lansoprazole to prevent some of the gastrointestinal side effect (Cunha & Anand, 2015). The alternative medication for patients that are Intolerance/hypersensitivity to Aspirin, is Clopidogrel this drug inhibits the platelets, but doesn't affect the cyclooxygenase (Society et al., 2005, Nice, 2015). Furthermore, CVD can be treated/control with therapeutic interventions such as, keeping the daily dietary fat intake to the minimum, low
Early in June 1998, Roche Laboratories of Nutley, NJ, abruptly and voluntarily withdrew its novel T-channel blocker, Posicor (mibefradil), from the market. The drug, used to treat hypertension, was just a few days short of celebrating its first year of release. The withdrawal came after reports of dangerous and even fatal interactions with at least 25 other drugs, including common antihistamines, and cancer drugs. Posicor, which went onto the general market in August 1997 after its final approve
A man’s wife is dying of cancer and there is one medicine that can save her. This drug is rare as it is only made by one chemist, and as a result, the price is exorbitant, ten times the actual cost of production. The man cannot afford to pay it and must either forgo the chance to save his wife’s life, or undertake desperate measures. Now, this scenario could be viewed as the Heinz Dilemma, a story often told in order to gauge the levels of moral reasoning, but unfortunately, it could also serve as