anticoagulation

Question 1

what could you give to manage AF

Answer 1

aspirin

Question 2

long term anticoagulation what do you give

Answer 2

‘Low molecular weight heparin’ and ‘unfractionated heparin’

Question 3

CHA2DS2-VASc

Answer 3

C Congestive heart failure 1
H Hypertension (or treated hypertension) 1
A2 Age >= 75 years 2
Age 65-74 years 1
D Diabetes 1
S2 Prior Stroke, TIA or thromboembolism 2
V Vascular disease (including ischaemic heart disease and peripheral arterial disease) 1
S Sex (female) 1

AGE rated 2 as well as stroke

for male consider anticoagulation if 1 , female 2

Question 4

ORBIT system assess for what

Answer 4

bleeding risk
Variable Points
Haemoglobin <130 g/L for males and < 120 g/L for females, or haemtocrit < 40% for males and < 36% for females 2
Age > 74 years 1
Bleeding history (GI bleeding, intracranial bleeding or haemorrhagic stroke) 2
Renal impairment (GFR < 60 mL/min/1.73m2) 1
Treatment with antiplatelet agents

0.2 low , 3 medium 4-7 high

Question 5

reducing stroke risk in AF what drugs could you give

Answer 5

apixaban
dabigatran
edoxaban
rivaroxaban