General practice · Explanation & counselling

Starting apixaban for AF

Easy

10 min station · 2 min reading · Recommended for Curtin Year 4 students

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H T N P

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in general practice. Your next patient is Joan Harper, 74, with newly found atrial fibrillation, who is starting apixaban. Her results are below.

  1. Take a focused history

  2. Explain apixaban and your management plan to the patient

ECG

Atrial fibrillation, rate 88

Echocardiogram

Mildly dilated left atrium; normal valves; ejection fraction 60%

Bloods

Hb 128, platelets 230, creatinine 80 (eGFR 65), ALT 24, HbA1c 6.9%, TSH 2.0; weight 68 kg

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