practice of Medicine
Orthopedic Surgery Toolkit
August 1, 2019
Weak on-call handoff and discharge instructions botch patient’s Coumadin therapy
A 46- year-old obese Caucasian female, underwent aortic heart valve surgery for aortic insufficiency with left sided ventricular enlargement on June 6, 2005.
During the post-operative hospital stay, the attending cardiologist periodically adjusted the patient’s Coumadin dose over three days. The cardiologist increased the dose each day, beginning with 5 mg/day, then 7.5 mg/day and …
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