For most surgical procedures, anticoagulation can be safely instituted after 1 2-24 hours of demonstrated hemostasis.

For most surgical procedures, anticoagulation can be safely instituted after 1 2-24 hours of demonstrated hemostasis. Some situations may temper that interval, including the nature of the operation, for example neurosurgery where bleeding into a closed space can be disastrous or when there is an ongoing difficulty with bleeding at the operative site. In low-risk patients, warfarin therapy can be restarted with a daily dose of 5 mg until the INR is above 2.0. This patient is at somewhat greater risk due to her complicating illnesses (atrial fibrillation and a heart murmur), and therefore probably should be considered for bridging therapy with unfractionated heparin, starting 1 2-24 hours after surgery and continuing until the INR is in a therapeutic range for 1 -2 days. She can then return to her maintenance warfarin dose. Cardiac ultrasound imaging to determine any valvular abnormality would assist in that decision. Instead of unfractionated heparin, some high-risk patients may be managed with a daily prophylactic dose of LMWH over the 3-5 days of reinstituting warfarin to establish a therapeutic INR. This may be especial ly useful for surgeries with increased thrombogenic potential, such as hip or knee replacement.

find the cost of your paper

Prepare an annotated bibliography for the resources you identified.

This week’s assignment will be to create an Annotated Bibliography for your Course Project Topic. Using the Rasmussen Library, identify at least 2 resources pertaining to your topic using the….

What is the specific concept

The paper has to be 5 full pages (Excluding the Title page, Abstract, and References) a total of 8 pages The paper is divided as follows: A) The Title of….

Create a culturagram for your selected population.

Throughout the course, you’ll use the map below to engage important population health concepts. Click on each hot spot to learn more about the population in that area. This week,….