General Medicine Rotation

Question 1

Why might a patient be on both warfarin and an IVC?

Answer 1

After 6 months, IVCs can become thrombogenic themselves and so patients will then also be put on warfarin

Question 2

When looking at an INR, what factors will you consider that affect the INR?

Answer 2

Serum creatinine Diet Fluid overload Renal function Infection Drug drug interaction

Question 3

what is the TIPS procedure?

Answer 3

Transjugular intrahepatic Portosystemic Shunt (TIPS) its basically a tube that they place between the portal vein and the hepatic vein that allows you to bypass the blood flow to the liver to go back to the Vena cava from the portal vein.

Question 4

What is the treatment dose for enoxaparin ? renal adjustment?

Answer 4

tx : 1mg/kg SC BID

Renal : 1mg/kg sc QD

Question 5

what is the PPX dose for enoxaparin? renal adjustment?

Answer 5

PPX: 40mg sc qd

renal: 30mg sc qd