This paper concentrates on the primary theme of Question 1How would you manage patients on warfarin in the following four scenar in which you have to explain and evaluate its intricate aspects in detail. In addition to this, this paper has been reviewed and purchased by most of the students hence; it has been rated 4.8 points on the scale of 5 points. Besides, the price of this paper starts from £ 79. For more details and full access to the paper, please refer to the site.
Question 1How would you manage patients on warfarin in the following four scenarios?1- A 55 years old man with atrial fibrillation has an INR of 7 at his routine clinic appointment, having been stable over previous months, he has no bleeding problems.2- You are called by a dental surgeon about 30-year-old women on a permanent anticoagulation after recurrent venous thrombosis. Her INR a week ago was 2.5 and the dentist wishes to extract a molar tooth right now.3- A 65-year-old man on long term anticoagulation is admitted unconscious with intracranial hemorrhage. His INR is 12.4- A surgeon calls about a man on warfarin with a metallic mitral heart valve and a current INR of 4. He would like to perform elective cholecystectomy at some time in the next few weeks.Question 2· A 3-year-old girl was referred to your hospital following presentation at her local hospital with headache and seizures. A CT scan had revealed a central mass. The neurosurgeon decided that mass was not respectable but that a tissue diagnosis was required. · It was his normal practice to perform pre-operative coagulation screening. The following results were obtained · APTT 89 seconds (normal 24-34 S)· PT 13.5 seconds (normal 12-14 S)· APTT 50% mixture with normal plasma is 76 seconds· Thrombin time 11 seconds (normal 11 S)· Fibrinogen 3.2 g/l · Full blood count Hb 113 g/l; WBC 10.4X10^9; Platelets 345 X10^9· The operation was postponed pending further investigations.1- What test would you perform to reach the diagnosis? 2- What advice would you give to the surgeon?