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엔클랙스240

[N-clex] Heparin, Warfarin Heparin warfarin 기대효과) PTT 28~35 sec INR 1.5~2.5배 antidote : protamin sulfate 기대효과 PT 11~12.5sec INR 1.5~2배 antidote : Vit K preg. 금기 4G : ginseag, ginko, garlic, ginseag ↑ clot factor : 2,7,9,10 작용 onset : 12~24hr peak : 1.5~4d duration : 3~5d q3 month f/u 피검사 필요 wafarin, heparin : INR(0.8~1.2sec) 2021. 6. 19.
[N-clex] Thrombolytic 금기) - intracranial, spinal OP 2month 이내 - thoracic, Pelvic, abd OP 10day 이내 - Hx of hepatic, renal Dz - uncontrolled HTN med) - Alteplase - Tenecteplase - Drotrecogin alfa MI 4~6hr 이내 투여 : 투여 후 bleeding 관찰 CVA(cerebrovascular accident) 3hr 이내 투여 : BP↓, RR↑, PR↑, BT↑ 2021. 6. 19.
[N-clex] AAA(Abdominal aortic aneurysm) post) 복압상승 X - X heavy lifting(15~20Ib, 6~12wk) - X pushing, pulling - X driving 6~8wk 2021. 6. 19.
[N-clex] PAD(Peripheral artery Disease) Sx) - Int. claudication(산소 요구량↑, pain) : collateral circulation(주변혈관발달운동법) walk→(pain) rest → walk 반복 - numbness, buring (DM과 같이 관리) - paresthesia, only scaly skin - loss of hair - thicken toe, nails - cold gray, blue skin - ↓ or absent pulse - elevate : pallor / dependent : 홍색 rist factor) - atherosclerosis, HTN, DM, smoking, hyperlipidemia, obestity, family Hx, age↑ 2021. 6. 19.

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