TY  - CHAP
M1  - Book, Section
TI  - ANTICOAGULATION IN THE MANAGEMENT OF THROMBOTIC DISORDERS
A1  - Hillman, Robert S.
A1  - Ault, Kenneth A.
A1  - Leporrier, Michel
A1  - Rinder, Henry M.
PY  - 2016
T2  - Hematology in Clinical Practice, 5e
AB  - CASE  HISTORY  •  Part  1A  57-year-old  woman,  scheduled  for  an  elective  hysterectomy,  is  referred  for  management  of  her  anticoagulation  during  the  perioperative  period.  She  is  currently  receiving  warfarin  3  mg  daily  for  a  5-year  history  of  atrial  fibrillation  with  past  evidence  of  a  single  embolic  event.  Other  medical  problems  include  hypertension  and  diabetes,  controlled  with  an  angiotensin-converting  enzyme  (ACE)  inhibitor  and  diet.  She  also  takes  a  baby  aspirin  each  day.Examination  reveals  a  healthy  black  female  with  no  complaints.  Positive  findings  on  examination  include  an  irregularly  irregular  heart  rhythm  and  a  faint  diastolic  murmur.  Vital  signs:  BP  -  155/80  mm  Hg,  pulse  -  75  bpm,  resp  -  16/min,  T  -  37°C.Coagulation  studies:Platelet  count  =  210,000/μLPT  =  25.1  seconds  (<14  seconds)INR  =  2.4  (0.8–1.3)PTT  =  29  seconds  (22–35  seconds)QuestionGiven  the  potential  for  significant  hemorrhage  during  surgery,  how  should  this  patient  be  managed?  
SN  - 
PB  - McGraw-Hill Medical
CY  - New York, NY
Y2  - 2024/04/19
UR  - hemonc.mhmedical.com/content.aspx?aid=1127769005
ER  -