I work in a combined interventional radiology and cardiac cath lab lab. Today a patient arrived on pletal. she had a temporary dialysis catheter and was having a permanent dialysis catheter inserted today. the interventionalist refused to do the procedure,stating pt needed to hold med for 2 days. could he have done the procedure, INR today was 1.1 and is on no other meds
7 Apr 2011
People wont answer if they dont know the answer! This drug can cause hemorrhage as it inhibits platelet aggregation so I would say he did right by refusing to place the catheter without her stopping the medication.After all,he is the one placing the cath and if there is a problem, he gets the blame! What is her creatinine clearance? This drug should be used with special caution with a person with a clearance <25 ml/min.
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