tag:blogger.com,1999:blog-2760353953251845523.post2037012573843965095..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: unusual cause of bowel obstructionJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2760353953251845523.post-8121321757957720072008-11-11T16:59:00.000-05:002008-11-11T16:59:00.000-05:00Question from a floatpool RN,Would you give him Vi...Question from a floatpool RN,<BR/><BR/>Would you give him Vitamin K to reverse the INR? Does it work faster than FFP? or did you give FFP to also support him fluid wise since he looked to be bleeding?<BR/><BR/>I remember hearing a oncologist who specialty was hematology tell me Oral vitamin K works as fast as IV vit K and I thought our rapid INR reversal protocol said to use vit K IV ONLY If oral route contraindicated( Obviously it would be in your patient. ) but I see hospitalists routinely order VIT K IV for surgery in the AM for cases where they can still take PO the night before.<BR/><BR/>I worry as I always closely monitor the Vit K when given IV like sit in room for the start of the infusion to make sure the 15 minute vitals are fine no reactions etc as I heard if they do have a reaction to the IV vit K it should happen pretty quickly. After the start of the infusion it decreases chance of bad outcome.Unknownhttps://www.blogger.com/profile/15469919944737503739noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-23086966527208382692008-11-11T16:56:00.000-05:002008-11-11T16:56:00.000-05:00This comment has been removed by the author.Unknownhttps://www.blogger.com/profile/15469919944737503739noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31864151454961185782007-06-21T00:34:00.000-04:002007-06-21T00:34:00.000-04:00I think your diagnosis is correct. I saw a couple ...I think your diagnosis is correct. I saw a couple of cases of the exact same thing over the years. Like a blood sausage.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-32542052871034890262007-06-11T09:42:00.000-04:002007-06-11T09:42:00.000-04:00thanks for sharing. will keep this story in mind w...thanks for sharing. will keep this story in mind when similar patients roll along. :)Coffee Addicthttps://www.blogger.com/profile/05463241623242693047noreply@blogger.com