Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightFamily physicians' informing caregivers during follow-up of home-care patients, about patients' drugs, drug-drug interactions, especially drug-food interactions regularly is important.
📌 3 Maddede Bu Makale
Abstract
Warfarin is commonly used drug; however its dosage is affected by plenty of food and drugs. As it can cause bleeding, its follow-up is important. Patients are monitored by International Normalized Ratio (INR), standard value of the prothrombin time, and the target values vary 2-3.5 for different diagnosis. A 76-year-old female patient had a cerebrovascular accident after a cholecystectomy operation. As a sequel she had loss of strength in her right foot. Her caregivers, 77-year-old husband and a professional caregiver, applied to home care services (HCSs). Ecchymosis was seen in her body in her physical examination while vital signs were normal. Additionally decubitus ulcers on her gluteal region, loss of strength at her right foot was determined. She had been in this condition for 5-6 months and the ecchymosis was attributed to impacts during caring. She was referred to emergency department because of bleeding risk. In her first evaluation INR: 6.6, however no bleeding was not detected except for widespread ecchymosis. Warfarin was stopped for 3 days and the treatment regimen was planned again. After 12 days, control INR: 2.96. Family physicians' informing caregivers during follow-up of home-care patients, about patients' drugs, drug-drug interactions, especially drug-food interactions regularly is important.