Direct anticoagulants and nursing: An approach from patient's safety

Ruiz, Adolfo Romero; Romero-Arana, Adolfo; Gómez‐Salgado, Juan

doi:10.1016/j.enfcle.2017.02.002

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…The switch to DOACs involves considering the risks they pose, including similar side effects related to bleeding in various locations. Renal elimination must be controlled at the beginning of and during treatment (annually) [31]. Poor renal function is a factor to consider in decreased efficacy [23].…”

Section: Discussionmentioning

confidence: 99%

“…In the USA, it is estimated that between 2 and 4 million people had serious or very serious adverse events related to drug treatments, most frequently with dabigatran and warfarin. In such an event caused by VKAs, the oral or intravenous administration of vitamin K can solve a potential bleeding problem [31]. In the first case, the approach is carried out in PC.…”

Section: Discussionmentioning

confidence: 99%

“…Given the limited experience of use in contrast with dicoumarimics, DOACs raise uncertainties about adverse events, especially about that of a possible increase in myocardial infarction as compared with dicoumarimics [33]. Renal function controls with DOACs [31] or decreased efficacy with decreased renal function are factors to consider [34].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness and Health Outcomes of Collaborative Nurse Prescribing for Patients Anticoagulated with Antivitamin K in Primary Care: A Study Protocol

Lara,

March-Cerdà,

Ponce-Blandón

et al. 2024

Healthcare

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The development of collaborative nurse prescribing (NP) in Andalusia (Spain) in 2018 gives us the opportunity to measure the impact of this practice. Scientific evidence indicates that prescribing is not more costly when performed by nurses and, in fact, is more economical in some cases. The aim of this study is to determine the effects of NP on the effectiveness, health outcomes and adverse events related to prescribing including in the follow-up of patients treated with antivitamin K oral anticoagulants in primary care (PC) by nurses. The design is a randomized clinical trial. The population comprises 1208 anticoagulated patients in 2019. The sample size calculation considers an alpha error of 0.05, a power of 99% and an effect size of 0.5, resulting in 127 users per group. Therefore, a total sample of 254 participants is needed. However, as the project intends to treat patients it will include the universal sample that meets the criteria in the two health centers participating in the study, with 575 participants in total. Data collection was carried out in the PC District of the Alamillo-San Jerónimo Clinical Management Unit of Sevilla for one year from January 2020. Data analysis is performed using the SPSS Statistics 25 package. We intend to study if nurse collaborative prescription in the follow-up and management of patients taking antivitamin K oral anticoagulants in PC is as effective as the traditional approach to follow-ups carried out by a family physician.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effectiveness and Health Outcomes of Collaborative Nurse Prescribing for Patients Anticoagulated with Antivitamin K in Primary Care: A Study Protocol

Lara,

March-Cerdà,

Ponce-Blandón

et al. 2024

Healthcare

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Analysis of the opinion of doctors about dental management of patients with heart rate disorders in the background of the application of anti-coagulant therapy

Lomakina

2021

Medicinskij alfavit

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Diseases of the circulatory system are one of the main causes of death and disability in the population. The high prevalence of conditions associ-ated with heart rhythm disturbances is due to associated conditions and concomitant diseases, and this cohort of persons, as a rule, is on lifelong pharmacotherapy. In accordance with clinical guidelines, anticoagulant therapy is indicated for patients with heart rhythm disturbances, which can often pose a risk of microcirculation disturbance. Inflammatory processes in the oral cavity lead to endothelial dysfunction and microcirculation disorders, which is one of the predictors in the development of hypertension, which is associated with rhythm disturbances.Due to the possibility of developing microcirculation disorders and the risk of bleeding, it is important for a dentist to understand the features of the management and treatment of these patients, as well as approaches to the prevention of exacerbations of dental diseases.

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Direct anticoagulants and nursing: An approach from patient's safety

Cited by 2 publications

References 21 publications

Effectiveness and Health Outcomes of Collaborative Nurse Prescribing for Patients Anticoagulated with Antivitamin K in Primary Care: A Study Protocol

Effectiveness and Health Outcomes of Collaborative Nurse Prescribing for Patients Anticoagulated with Antivitamin K in Primary Care: A Study Protocol

Analysis of the opinion of doctors about dental management of patients with heart rate disorders in the background of the application of anti-coagulant therapy

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