Anticondensatives, anti-blood tablets, what do you need to know before surgery?


This year, the King’s medical examination revealed a pulmonary knot, and he came to the hospital with anxiety. The chest surgeon carefully examined the chest CT and recommended that the procedure be prepared after the pre-operative examination. Asked about the combination of diseases, he informed the doctor that he had coronary heart disease, which had been preceded by a cardiac valve replacement and a coronary bridging operation. The doctor took it very seriously and then asked him what medication was normally used, saying that he was always taking oral treatments for Wafarin and aspirin. The doctor advised him to stop surgery after five to seven days.In fact, Wafarin is an anticondensant, and aspirin is an anti-blood tablet, both of which are drugs to prevent the formation of blood clots, which require adjustment before surgery. Anticondensants include heparin and diarrhea (Wavalin, etc.) for the silent and oral drugs, and new drugs for the benefit of sand-cutting classes, among others, which contain specific internal coagulants and prevent their functioning. The adjustment of pre-operative anticondensants needs to be determined by the specific anticondensation drugs used by the patient, the kidney function and the risk of bleeding from the operation. Vitamin K is usually suspended for 5 days before the vaffal, and anti-condensation treatment may be required for high-risk patients, such as bed resters and in-house implants, i.e., the use of a safe short-acting anti-condensant after the withdrawal and monitoring of INR is below the treatment range – Low-molecular heparin treatment gives medication, with care that it must be discontinued 24 hours before the operation to fully metabolize the drug in the body in order to avoid more than haemorrhage in the operation. In the case of emergency surgery, fresh cold blood plasma (because it contains all the condensers in the human body) is required to contain the original anticondensation drug and to measure the normal range of the INR for the condensation indicator. For patients with normal kidney function (>30ml/min) before surgery, 72 hours should be taken off; for patients with impaired kidney function (<30ml/min) the stoppage is relatively prolonged, and condensation can be monitored at the same time and low molecular heparin substitution may be required if necessary. An anticondensed drug for substitution treatment is common hepatogen, usually intravenous, which requires only four to six hours off before a higher-risk procedure, which is relatively simple but requires more frequent monitoring of coagulation.Anti-sculpture drugs include aspirin, chlorprorey, double-damol, etc., inhibiting the slab structure or function to prevent it from forming a mesh structure, thus preventing the formation of a sepsis. Aspirin is recommended to be suspended for seven days before the operation due to the antisculpture effect that runs through the slab life cycle (average of 7 days). As a result of its irreversible change in the receptors on the plate, which affects the life of the plate, it is recommended that it be suspended for seven days before the surgery; that it be discontinued 35 days after it was interrupted 24 days after the reversible inhibition of the plate; that it be discontinued for 35 days before the operation; that it be discontinued for 10 hours before the operation, after 24 hours, for the non-resistence of the receptor on the plate; and that after 24 hours, the slabs be restored up to 50 per cent of the slabs be used for the replacement of the surgical period.These are general guidelines and are based on the mechanism of the functioning of the drug and the recommendations for its adjustment given by the internal metabolism. The specific cut-off and bridging treatment options should be determined by the doctor according to the patient ' s specific circumstances and the needs of the operation. Doctors develop individualized management programmes that take into account, inter alia, the risk of a patient ' s haematosis, the urgency of the operation, and the risk of bleeding. The patient should therefore communicate fully with the doctor prior to the operation and follow medical instructions to adjust the use of anticondensants to ensure their safety.The King understood the doctor ' s hard work and accepted the doctor ' s advice to adjust his medication, and five days later he performed a successful pectroscopy operation, which went well. Lung Festival