The most likely explanation for your patient's symptoms is cimetidine inhibition of warfarin metabolism.
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What is cimetidine inhibition?</h3>
- A number of cytochrome P450 (CYP) enzymes, including CYP1A2, CYP2C9, CYP2C19, CYP2D6, CYP2E1, and CYP3A4, are strongly inhibited by cimetidine.
- The medication is a mild inhibitor of the CYPs it appears to primarily inhibit: CYP1A2, CYP2D6, and CYP3A4.
- In vivo and in vitro in rats and people, cimetidine inhibits hepatic cytochrome P450 (CYP).
- To block drug metabolism in hepatic microsomes in vitro, cimetidine concentrations must be 100–1000 times greater than those linked to a comparable level of inhibition in vivo.
To learn more about cimetidine, refer:
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Answer:
Determine current cervical dilation.
Explanation:
Oxytocin is a key hormone that acts on the uterus and breasts to induce uterine contractions and lactation afterward. On the other hand, Pitocin is a synthetic drug that mimics oxytocin by inducing labor and by strengthening labor contractions during childbirth. Pitocin is administered in an initial dose of 0.5-1 milliunits per minute (mU/min) and this amount is gradually increased in 1-2 mU/min until to reach the desired frequency of contractions and labor progressed to 5-6 cm dilation.
Connect the resuscitation bag to the oxygen outlet
Answer:
a. Acne rosacea is a result of an infection and can be treated with antibiotics, while vulgaris is not caused by an infection
The left side of the heart is responsible for receiving blood from the pulmonary circuit from the lungs. So failure of it leads to increased pressure in the lungs (pulmonary circuit). That would cause the right side of the heart, which pumps blood to the lungs) to exert more force to keep blood moving through the pulmonary circuit.
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