|
medicine q - raheem
|
07-28-2011, 09:33 PM
CHF PATIENT WITH AN UNCOMPLICATED ATRIAL FIBRILLATION SHOULD BE ANTICOAGULATED WITH.....
A-ASPIRIN B-HEPAREN C-WARFARN D-CLOPIDOGREL E- ANTICOAGULANT NOT INDICATED
07-28-2011, 10:08 PM
You have asked answer to an incopmlete question
However here is the answer THE CHOICE OF ANTICOAGULATION IN Pt. WITH Atr. Fib. is based on CHADS2 Score Condition Points C Congestive heart failure 1 H Hypertension: blood pressure consistently above 140/90 mmHg (or treated hypertension on medication) 1 A Age ≥75 years 1 D Diabetes mellitus 1 S2 Prior Stroke or TIA 2 NOW Interpretation Score Risk Anticoagulation Therapy 0 Low Aspirin 1 Moderate Aspirin or Warfarin 2 or greater Moderate or High Warfarin I Think it will help u alot
07-28-2011, 10:13 PM
All the things are shuffled I again write it.
Condition Points C Congestive heart failure 1 H Hypertension: above 140/90 1 A Age ≥75 years 1 D Diabetes mellitus 1 S2 Prior Stroke or TIA 2 NOW Interpretation Score Risk Anticoagulation Therapy 0 Low Aspirin 1 Moderate Aspirin or Warfarin 2 or greater Moderate warfarin or High
07-28-2011, 10:16 PM
In this pt. score is 1 so aspirin or warfarin can be used
I dont think such one sentence question will appear on Step 2 exam
07-29-2011, 08:47 AM
http://en.wikipedia.org/wiki/CHADS2_score
it has all the references mmutahir is right @raheem, this Q is from UW, and the answer is very questionable, as it can be both, if nothing else is given type down the whole question
07-29-2011, 08:50 AM
WARFAREN WITH (MAJOR)RISK OF INTRACRANIAL HAEMORRAGE+NEED 2 RISK FACTORS=MTB2..................GOOD LUCK
07-29-2011, 09:01 AM
it can be both as I said based on your info. and if your source of info is MTB only, especially questionable topics, then good luck to you as well
07-29-2011, 09:43 AM
ok basically they both have the same efficacy for CHADS score of 1 as in this patient.
and if it comes down to choosing aspirin or warfarin, of course it is aspirin (if no allergy), because the patient doesn't have to go to coumadin clinic every 2 weeks have his/her PT checked. Warfarin is the answer, but I had to dig it out |
| « Next Oldest | Next Newest » |
