Cardiology In Primary Care With Midge Bowers
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- Опубликовано: 23 июл 2024
- I am thrilled to introduce you to Midge Bowers.
Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic.
She’s an expert in cardiology, a seasoned healthcare educator, and shares so much incredible knowledge in this jam-packed episode.
In this episode, we covered:
✅ The importance of looking beyond creatinine levels
✅ How to focus on practical aspects of echos
✅ Demystifying anticoagulation choices
✅ Practical tips on adjusting Warfarin dosages
✅ Reversal agents and safety measures
This barely scratches the surface of the wealth of information Midge provides.
0:00 - 3:35 - Introduction and Overview
3:36 - 8:39 - Importance of Monitoring Creatinine and GFR
8:40 - 15:06 - Impact of New Medications on Kidney Function
15:07 - 20:30 - Understanding Echo Results: Akinesia, Hypokinesia, and EF
20:31 - 25:01 - Interpreting Trends in Echo Reports
25:02 - 31:17 - Anticoagulation Choices: Warfarin vs. DOACs
31:18 - 38:15 - Adjusting Warfarin Dosages and INR Monitoring
38:16 - 42:42 - Assessing Bleeding Risks with CHADS-VASc and HAS-BLED
42:43 - 46:03 - Reversal Agents and Safety in Anticoagulation
46:04 - 53:41 - Managing DOACs in Different Clinical Scenarios
If you liked this post, also check out:
👉 Ask A Cardiology Nurse Practitioner - www.realworldnp.com/blog/card...
👉 Heart Failure Management In Primary Care - www.realworldnp.com/blog/hear...
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Please note: This episode is intended only for medical providers and students learning to be medical providers.
While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at www.realworldnp.com/mentoring.
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What a great interview!! So many nuggets of information that are clinically applicable.
I am happy your enjoyed it!
As a NP student this info was so helpful.
So happy to hear this was helpful for you!
excellent video! invaluable information!! loved it and took tons of notes!
So glad!
As an FNP-C for > 24 plus years, thinking about the person as a whole first and foremost is lifestyle. Partnering to come off medications accordingly when able. Start with the source, not just turn for another medication to the copious medications they are already one.
Agreed this is an invaluable tool when caring for patient.
This was a wonderful and informative podcast~ her diuretic PEARL invaluable, now I have another tx option , other than doubling up. And I am going to sign up for that CME she referred to , luv it ❤
I agree so helpful. Glad you found it helpful as well.
Wonderful interview with a wonderful clinician and professor! I had the privilege of having Dr. Bowers as a professor at Duke as an FNP student 💙😈#BlueDevilFNP
She is amazing!
Is there a quick reference for when and how long to hold anticoagulation and when to use Lovenox, around a procedure?
I am not aware of a quick reference. My personal go to the UpToDate as they give anticoagulation specific guidance in relation to pre-operative management.
Good to know cardioversion not working when enlarged atrial
Thanks so much for watching!
I have a question about the warfarin titration example. If INR is low from diet, drugs, drinking or missed doses and you decide to add that half tab for two nights, do you go back to their regular 5mg/d dose after INR is normal a few days later?
There are multiple factors that must be consider in titrating warfarin. If the low INR is related to drugs or drinking a goal would be to moderate this modifiable factors as opposed to dosing change.