| TAZ-TFG-2017-995 |
Manejo del tratamiento anticoagulante: situaciones especiales
Ramírez Sánchez, Ana Belén
Franco García, Mª Esther (dir.)
Universidad de Zaragoza,
MED,
2017
Medicina, Psiquiatría y Dermatología department, Medicina area
Graduado en Medicina
Tipo de Trabajo Académico: Trabajo Fin de Grado
Notas: The thromboembolic disease supposes a major cause of morbidity and mortality in our country, and for its prevention and treatment anticoagulants drugs are necessary. The current and continuous rise of patients with oral anticoagulant treatment (OAT) has required the decentralization of the ambulatory control and management of these patients. The most used anticoagulants in the community are vitamin K antagonists: acenocumarol y warfarina; and direct oral anticoagulants: dabigatrán , rivaroxabán , apixabán y edoxabán. This document analyzes the managing of oral anticoagulation in different and concrete situations wich the anticoagulated outpatients face. For that purpose, a literature review of some of the last clinical practice guidelines for anticoagulation has been done, and it has been compared with daily clinical practice. The special situations analyzed are: INR out of range (supra and infratherapeutic INR, and unstable INR), hemorrhagic complications with OAT, thrombotic complications with OAT, minor surgical interventions and endoscopic procedures, gestation, oncological patients, and pharmacological interactions with rifampicin. Currently, guidelines and clinical practice, completely agree to the outpatient anticoagulant management of pregnant women, oncological patients and mechanical heart prostheses; in the case of venous thromboembolism the coincidence is also wide and, it´s in the rest of situations in which differences are evident when comparing revised clinical guidelines and daily clinical practice, needing the medical judgment in order to adapt them to every situation.
Notas: The thromboembolic disease supposes a major cause of morbidity and mortality in our country, and for its prevention and treatment anticoagulants drugs are necessary. The current and continuous rise of patients with oral anticoagulant treatment (OAT) has required the decentralization of the ambulatory control and management of these patients. The most used anticoagulants in the community are vitamin K antagonists: acenocumarol y warfarina; and direct oral anticoagulants: dabigatrán , rivaroxabán , apixabán y edoxabán. This document analyzes the managing of oral anticoagulation in different and concrete situations wich the anticoagulated outpatients face. For that purpose, a literature review of some of the last clinical practice guidelines for anticoagulation has been done, and it has been compared with daily clinical practice. The special situations analyzed are: INR out of range (supra and infratherapeutic INR, and unstable INR), hemorrhagic complications with OAT, thrombotic complications with OAT, minor surgical interventions and endoscopic procedures, gestation, oncological patients, and pharmacological interactions with rifampicin. Currently, guidelines and clinical practice, completely agree to the outpatient anticoagulant management of pregnant women, oncological patients and mechanical heart prostheses; in the case of venous thromboembolism the coincidence is also wide and, it´s in the rest of situations in which differences are evident when comparing revised clinical guidelines and daily clinical practice, needing the medical judgment in order to adapt them to every situation.
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El registro pertenece a las siguientes colecciones:
trabajos-academicos-universidad-zaragoza > centro > facultad-de-medicina
trabajos-academicos-universidad-zaragoza > trabajos-fin-grado