Recommendations for the Elderly When Taking Antithrombotic Therapy
Before prescribing antithrombotic therapy, an elderly person should undergo:
complete blood count (especially red blood cells, hemoglobin);
Rehberg’s test (creatinine in blood and urine with reference to the height and weight of a person);
general urine analysis;
fecal occult blood test (for minor intestinal bleeding);
FEGD – examination of the stomach and duodenum using a “probe” with a video camera;
Ultrasound of the kidneys, heart, liver, small pelvis;
Doppler sonography of the extremities;
Doppler sonography of the neck and head vessels;
examination of the fundus;
for the senior who had a stroke – repeat MRI of the brain.
Also, it is crucial to take account of the below factors:
increase in blood pressure above 160 mm Hg;
impaired liver function;
the age of the person;
deterioration of the kidneys (blood creatinine above 220 µmol/l, kidney transplantation, the need for dialysis);
suffered a stroke or not;
predisposition to bleeding or bleeding that has already occurred;
changing INR parameters or high INR;
alcohol abuse (more than 8 servings per week);
painkillers that the patient consumed(most of them act like antiplatelet agents).
If 3 or more responses are positive – the risk is high. The doctor will evaluate the benefits of anticoagulants, and if the risk of a vascular catastrophe is also high, they may start with minimal doses of antiplatelet agents.
In the course of treatment, an elderly person must donate blood and urine 5-6 times a year to conduct a Rehberg test. Based on renal function, the doctor must make adjustments to the dosage of the drugs (so that the drugs do not accumulate in the body, but are eliminated).
If an elderly person is forced to take painkillers, he/she must report this to their doctor. In this case, in order to avoid stomach bleeding, the dose of antithrombotic agents should be reduced.
For older people taking antithrombotic drugs (especially anticoagulants), it is also necessary to prevent falls. About 2020 Medicare Supplement Plans getone at https://www.medisupps.com/medicare-supplement-plans-2020/
: Older folks in the USA who’re 65 and older can check out Medicare supplement plans. These coverage options help them pay for copay & coinsurance.