Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes blocked. Neurocritical Care is the next volume in the qWhat Do I Do Now?q series and provides the clinician with specific focus and insight on interventions in acute neurologic disorders. Neurocritical care in daily practice pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Written with a conversational tone and using a case- based approach, Neurocritical Care emphasizes how to handle comparatively common clinical problems emergently.Everyone would agree thatafirst step would betoquickly correctthe INR toanormal value (INR alt; 1.5). However, it is not well established ... The approach is to reverse the antagonistic effect of warfarin on vitamin K, and vitamin Kwillthen reactivate factors II, VII, IX, and X. Using bothintravenous vitamin Kand fresh frozen plasma (FFP) accomplishes that, but onlyafter several hours. Moreover, vitamin K alone isanbsp;...
|Author||:||Eelco F.M. Wijdicks, Alejandro A. Rabinstein|
|Publisher||:||Oxford University Press - 2011-10-04|