There is a risk for a thromboembolic event

Are you sure? Andrew's INR is quite high, which would indicate a bleeding risk. Rememeber that the liver is unable to synthesize coagulation factors, increasing the risk of bleeding.

Please go back and re-consider. 

Alters ammonia metabolism by colonic bacteria

Map: Andrew Hall (1102)
Node: 20968
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • B
  • PPIs are weak bases that become activated by colonic bacteria
  • D
  • C
  • Ignore the emotional expression.
  • E
  • A
  • Respond bluntly: “That is common in diabetes.”
  • PPIs are weak acids activated by protonation in parietal cells
  • Blame the patient for non-adherence
  • PPIs are weak bases converted by CYP450 enzymes to the active form in parietal cells
  • Validate the emotion
  • Sequesters bile acids
  • PPIs are weak acids converted by CYP450 enzymes to the active form in parietal cells
  • Reschedule without offering alternative solutions
  • Antagonizes beta receptors
  • Tell the patient to change devices without giving proper guidance.
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Insist on continuing with poor video quality
  • Reschedule without offering alternative solutions
  • Switch to audio + chat mode and promise a PDF summary afterward
  • PPIs are weak bases activated by protonation in parietal cells
  • Activates vasopressin receptors
  • Activates somatostatin receptors
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Insist on continuing with poor video quality
  • Tell the patient to change devices without giving proper guidance.
  • Ramipril
  • Alters ammonia metabolism by colonic bacteria
  • Metolazone
  • The patient presentation is not due to paracetamol overdose
  • Bisoprolol
  • Cholestasis is the most likely diagnosis
  • There is a risk for a thromboembolic event

Reminder

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