Haematology Flashcards
what is used to monitor warfarin use
INR
international normalised ratio
what is the INR
measurement of how long it takes blood to form a clot
what is the calculation for INR
Prothrombin test / prothrombin control ISI
a high INR means the blood is too thin/thick
thin - more prone to bleeding
a low INR means the blood is too thin/thick
thick - more prone to clotting
what antibiotics may interact with warfarin
macrolides
warfarin is teratogenic?
yes!
need to warn young patients about this
what can you give to reverse warfarin
oral vit K
prothrombin complex for severe/life threatening bleeding
above which level of INR would you stop warfarin and when would you restart
> 8
restart warfarin when INR <5
causes of megaloblastic anaemia
B12 deficiency pernicious anaemia folate deficiency drugs alcoholism liver disease hypothyroidism myelodysplasia