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Issues in Anticoagulation: Managing the Flow

EngMac profile image
23 Replies

Warning:  Not everyone will want to or probably should read this article, especially if you tend to worry.  The management of risks is very dependent on the health team attempting solutions when things go wrong.

reference.medscape.com/feat...

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EngMac
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23 Replies
RetaMay profile image
RetaMay

Hi, I went to have a look but needed a password to log-in.  Is that correct? 

CDreamer profile image
CDreamer in reply toRetaMay

Yes - you need to join Medscape but costs nothing, you don't get spam and you do get access to published medical articles.  A lot of the language is in medical research language so not always easy reading.

Barb1 profile image
Barb1

I have same problem

OzLynda profile image
OzLynda

Thanks for posting this link. Most interesting. As I'm taking Rivaroxaban (and aspirin) I'm thinking now I should how a medic alert bracelet engraved. Particularly since I'm travelling soon.

Has anyone else done this, and if so what do you have put on the bracelet ?

Stephanietee profile image
Stephanietee in reply toOzLynda

When you get in touch with medic alert they guide you through it all.  Basic conditions, and the membership number they give you and their contact telephone number.  Medic alert keep more detailed info. (Which you have to keep up to date!) so whoever contacts them is then given the info.

RegRds,

Stephanietee

seasider18 profile image
seasider18 in reply toOzLynda

Do you not get a card when on NOACs to carry around as you do with Warfarin?

souljacs4 profile image
souljacs4 in reply toseasider18

Hi I had a card that I keep in my purse it came in the packet of Apixaban

R1100S1 profile image
R1100S1 in reply tosouljacs4

I understand paramedics etc are not allowed to look in your purse or wallet ?

souljacs4 profile image
souljacs4 in reply toR1100S1

I didn't know that how do they get in touch with next of kin all my contact numbers are in my purse

R1100S1 profile image
R1100S1 in reply tosouljacs4

I use emergency thing on my iPhone,wear a dog tag when out on bike and wear a medialert bracelet 

Better safe than sorry

souljacs4 profile image
souljacs4 in reply toR1100S1

I am going to order one lets hope they check for them

jayjaybee profile image
jayjaybee in reply toOzLynda

My hubby thought the same thing and bought an 'Apixaban medicated' flexible wrist band from Amazon,  they do a rivaroxaban one too.

jennydog profile image
jennydog in reply tojayjaybee

You can purchase identification things from theidbandco.com. Their service is excellent.

Tyson4ever profile image
Tyson4ever in reply tojennydog

Agree,  I have one of their silicone bracelets with my name, on rivaroxaban and I.C.E. ( in case of emergency) a tel number.

Jo

MammaCass profile image
MammaCass in reply toOzLynda

Hi Ozlynda, I got a lovely expanding bracelet from JS Jewellery, online, it reads "taking Rivaroxaban"  I think it cost around £12 but it's very stylish and can be worn when your all dressed up

OzLynda profile image
OzLynda in reply toMammaCass

G'day MammaCass, that's very interesting. I've ordered another which might reach me in time, but a dressy one would be good. Are they in England, there's lot's of JS jewellery entries when I google - none seem quite right? Postage to Oz is slow, so I might be able to order from them when I get to UK if I can track them down. Thanks for any help. Lynda 

MammaCass profile image
MammaCass in reply toOzLynda

Hi Lynda, their web address is jscjewellery.co.uk I missed the c in my hurry to reply to you sorry. On the first page about half way down, right hand column it says any condition engraved. I had taking Rivaroxaban on mine. It's stainless steel with a gold band edge, the price has gone up a bit since I bought mine but it is a good looking bracelet you can wear with anything. They do also ship world wide at a very reasonable cost. When are you coming to the uk?

OzLynda profile image
OzLynda in reply toMammaCass

That's great, thankyou MammaCass. I've had a look and the bracelet looks very smart, so I'll follow up later. I'm arriving in London on 20 May and after 1 week in London I'll be visiting various places throughout England for five weeks. The seventh week is Ireland before flying home.

MammaCass profile image
MammaCass in reply toOzLynda

Have a wonderful time here.

Gaygay45 profile image
Gaygay45

You need a password to read this

jeff1257 profile image
jeff1257

I am a CHADS - VASc score 1 and take apixaban. After reading this, I'm likely to stop apixaban.  Thanks for posting. 

ILowe profile image
ILowe

Interesting in the quiz on Warfarin, they say "Answer: B. PT with INR.

Assessment of the degree of anticoagulation in a patient taking oral anticoagulants requires that both the PT and the INR be obtained. Warfarin, a vitamin K antagonist, will result in a prolonged PT and an elevated INR."

But I thought the INR was the standardised PT (Prothrombin Time). I thought that the PT was so highly dependent on circumstances of the local testing equipment, that it was next to useless -- though I have found that many doctors in my country used to NOT know that.

clinicaladvisor.com/medical...

EngMac profile image
EngMac

In case any of you missed it, there are 22 pages to read.  Hit the arrows on the right of each screen shot.

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