Author/Editor		Vodopivec-Jamšek, Vlasta
Title		Zdravnik družinske oz. splošne medicine in vodenje antiagregacijskega ter antikoagulacijskega zdravljenja
Translated title		Family doctor i. e. general practitioner and management of antiplatelet and oral anticoagulation treatment
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 37, št. 7-8
Publication year		1998
Volume		str. 331-5
Language		slo
Abstract		Antiplatelet and oral anticoagulation treatment is most frequent antithrombotic tratment which family doctor (general practitioner) encounters in his/her practice. In the article are presented recommendations for this sort of treatment that are important for family and general medicine. Antiplatelet drugs serve for the prevention of complications in atherosclerosis and try to influence primarily arterial thrombi. Most frequently administered antiplatelet drugs are acetylsalicylic acid (aspirin) and ticlopidine (Tagren). Important complications with aspirin are gastrointestinal hemorrhages and most dangerous complication of the treatment with ticlopidine is neutropenia. Warfarin is the drug of choice among oral anticoagulation drugs and it significantly reduces frequency of sytemic embolisms owing to venous thrombs. The most freuent complications of this tretment are hemorrhages. Good management of antiplatelet and anticoagulation treatment comprises the knowledge of recommendations, introduction of recommendations into praxis (choice and motivation of patients, management of complications, managing of documentation) an from time to time of monitoring work quality.
Summary		Antitrombotično zdravljenje, s katerim se najpogosteje srečuje zdravnik družinske oz. splošne medicine je antiagregacijsko in oralno antikoagulacijsko. V članku so predstavljena priporočila za antiagregacijsko in antikoagulacijsko zdravljenje, ki so pomembna za družinsko oz. splošno medicino. Antiagregacijska zdravila služijo preprečevanju zapletov ateroskleroze in skušajo vplivati predvsem na arterijske strdke. Najpogosteje uporabljeni antiagregacijski zdravili sta acetilsalicilna kislina (aspirin) in tiklopidin (tagren). Pomembni zapleti zdralvjenja z aspirinom so gastrointestinalne krvavitve, najnevarnejši zaplet zdravljenja s tiklopidinom pa je nevropenija. Med oralnimi antikoagulacijski zdravili je zdravilo izobra varfarin, ki pomembno zmanjšuje pogostost sistemskih embolij zaradi venskih strdkov. Najpogostejši zapleti tega zdravljenja so krvavitve. Dobro vodenje antiagregacijskega in antikoagulacijskega zdravljenja obsega poznavanje priporočil, uvajanje priporočil v prakso (izbira in motivacija bolnikov, ukrepi pri zapletih, vodenje dokumentacije) in občasno spremljanje kakovosti dela.
Descriptors		ANTICOAGULANTS PLATELET AGGREGATION INHIBITORS FAMILY PRACTICE