pom-stroke2 Flashcards
if inr < or = 3, then ?
probably don’t stop anti- coag
what is more worrisome, taking a pt off coag to do procedure, or leaving them on to risk bleeding?
keep them on it usually- very infrequent does it cause dire bleeding situation, but ischemic attack can happen if take off anti-coag
when should you take off anti-coag?
when it is very invasive
erythromycin, tetracycline, metronidaozle drug rxn to worry about?
coumadin- they decrease metab so coumadin becomes supra-therapeutic
antiplatelet agents have (lower, higher) bleeding risk than anticoag
lower
perio and stroke- are they related
maybe
what is recommended to give high stress pt , or pt with previous ICH or HTN before treating?
benzo
janeway lesion
erythematous, on palsm and soles seen in acute endocarditis
conjunctival petechia
due to strep sanguis- can help diag
roth spots-
oval, retinal hemorrhages with a pale center, also seen in ct dz and anemai (along with endocarditis)
splinter hemorrhages
due to endocarditis-
endocarditis can cause: 2 things:
ischemic stroke, hemoragic stroke
what percent of endocarditis pt get stroke?
15-20
anticoag (is, is not) indicated for pt with native valve endocarditis due to high risk of bleeding
NOT
should we give anticoag to pt with mechanical valvues?
yes, if a stroke occurs contiue anticoag for 48 hurs
