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 warfarin counselling  



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A patient comes for the follow up. She was started warfarin in the hospital when she was admitted for pulmonary embolism. Her recent INR is normal. On questioning she admits that she has stopped taking warfarin because of the fear of bleeding. Now in counselling which of following points (or any other points) you will address?
History how pulm. embolism developed and history of present illness? Any comorbid conditions? Explain what is a pulm. embolism. Did she have any bleeding while taking warfarin. Past history? Family history? Drug interactions (although it doesn't make sense as this point can be discussed only if she agrees to continue with warfarin, which in the exam. she did not).


thanks for the help







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