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coagulopathy made easy

coagulopathy made easy. Dr.Ali Ahmad KBA PGY2. the pathways. high ptt . Heparin effect The Correction The Inhibitor effect . causes of high ptt . DIC heparin therapy factors deficiencies ( 11.10.9.8 ) inhibitors such as LA . ACL . VWD .hemophilia . . high PT and INR .

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coagulopathy made easy

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  1. coagulopathy made easy • Dr.Ali Ahmad KBA PGY2

  2. the pathways

  3. high ptt • Heparin effect • The Correction • The Inhibitor effect

  4. causes of high ptt • DIC • heparin therapy • factors deficiencies ( 11.10.9.8 ) • inhibitors such as LA . ACL . • VWD .hemophilia .

  5. high PT and INR • warfarin therapy • factors dependent of vit K • liver • DIC

  6. clinical scenario • 30 y old male obese known to have thrombosis with PE on warfarin . admitted due to mild bleeding per rectum .

  7. my anticoagulated pt is bleeding • HASHTI . • 1-Hold • 2-Antidote • 3-Support • 4-Hemostatic measures • 5-Transfusion • 6-Investigate • level of urgency .

  8. antidotes high PT hi • vit K • FFP • prothrombin complex concentrates • recombinant factor 7

  9. what to do

  10. clinical scenario • 46 years old pt taking clexane for DVT prophylaxis . know D/A admitted with LL fracture need urgent surgery .

  11. antidotes • protamine sulfate . • Fresh frozen plasma .

  12. how to do it

  13. how to do it heparin

  14. THANKS • God bless medicine • So others may live

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