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scott@vtx-cpd.com

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Viewing 15 posts - 1,096 through 1,110 (of 2,333 total)
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  • scott@vtx-cpd.com
    Keymaster

    Hello Raquel.

    Great to hear from you. I hope you are well. This is a really interesting question. Generally when the GI bleeding is due to NSAIDs, omeprazole (1mg/kg BID) +/- sucralfate is often enough to manage the problem. In more severe/difficult to control GI haemorrhage cases, I would sometimes reach for tranexamic acid. There is very little evidence in veterinary medicine for tranexamic use in this context. There is a bit more in human medicine:

    https://pubmed.ncbi.nlm.nih.gov/34709209/
    https://pubmed.ncbi.nlm.nih.gov/33041136/

    Human evidence on the effects of tranexamic acid in patients with gastrointestinal bleeding is limited or highly heterogeneous. Some data suggests it is helpful and one of these reviews even suggests oral and lower dose therapy may be more helpful.

    So, I would consider using tranexamic acid in severe cases of GI haemorrhage. Especially those cases where bleeding was uncontrolled with other therapy. Hope that helps.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Alice L 16/08/2023 - 18:16

    Hey Alice.

    Hope you are well. We chatted about this question at the Q&A. We will let you know when the recording is available. If you want to chat about this anymore or have any other questions let me know!

    Have a lovely weekend.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Hello Nadia.

    Sorry you were not able to make the session. Life is busy!

    I hope your week has been OK. The session is indeed recorded and we will let you know when that is available.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Alice L 16/08/2023 - 18:16

    Hello Alice.

    I hope you are well! I will make sure we cove this in the session tomorrow night!

    Thanks again for the great question.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Sarah!

    Lovely to hear from you! Thank you for your brilliant questions!

    I really hope you are enjoying the course.

    I will pass these question on.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Laura Jones 02/08/2023 - 15:25

    Hey Laura.

    Really interesting topic indeed, thank you so much for sharing.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Nadia C. 09/08/2023 - 23:03

    No problem.

    Let me know if you have any other questions.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Dan T. 03/08/2023 - 20:00

    Hey Dan.

    This is really interesting, thank you for sharing.

    It was good to touch on this in the live session too, it is such an interesting topic.

    Thank you again for all of the brilliant contribution.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Matteo R. 05/08/2023 - 08:19

    Hello Matteo!

    So lovely to hear from you. Thank you so much for being a part of the course.

    Thank you so much for your contribution, really looking forward to your lesson.

    Have a great week.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Harry S. 03/08/2023 - 10:59

    Hey Harry.

    I hope you are well. Great to see you here and thank you so much for your contribution!

    I am a bit jealous deep down, I truly wish I understood fluid therapy like you did!

    Your brilliance is noted and appreciated.

    Thanks again.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Laura Jones 02/08/2023 - 15:31

    Hello Laura!

    Welcome and thank you so much for your contribution on the course!

    We really appreciate you sharing your vast knowledge and your love of medicine!

    Scott x

    scott@vtx-cpd.com
    Keymaster

    Replying to Helen S. 02/08/2023 - 17:42

    Thank you for sharing this Helen!

    I love the pebble in your shoe concept:

    “It is always wise to remove the pebble before it becomes a bigger issue. If we donโ€™t stop to remove the pebble, left unresolved, it will likely create an open wound which can become infected and quickly spread to other parts of the body. Small irritations, left unaddressed, become bigger problems.

    The โ€œpebble in your shoeโ€ metaphor can also be applied to the teams we lead, the customers we serve, and the families we love. It is true in our personal relationships and professional lives. It is also an important leadership concept.

    As leaders, if weโ€™re challenging our teams to climb metaphorical mountains higher, faster, and steeper than ever before, then we should be doing everything we can to remove the metaphorical pebbles from their shoes. We should continuously be looking for ways to remove any obstacles and irritations inherent in the work they do. Asking ourselves, โ€œHow can I make it easier for the team to climb the mountains ahead? What tools do they need? How are they doing? What is causing them aggravation and slowing them down? What new skills do they need?โ€

    What is the pebble in your shoe?

    I think mine is the constant worry that I will be โ€˜found outโ€™. There is no way that I am good enough to be doing the job that I am doing. Right? Even when my specialist diploma came throughโ€ฆ. Must be a mistake! I am working on that every day!

    Tell me about your pebble?

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Liz Bode 02/08/2023 - 20:15

    This is really helpful Liz!

    I must get you to teach me how to make cool videos like this!

    Scott x

    scott@vtx-cpd.com
    Keymaster

    Replying to Janette B. 01/08/2023 - 16:04

    Hello Janette!

    We are so honoured that your are involved with this course! Thank you so much for being a part of it. I know the delegates will learn a lot from you, I certainly have over the years!

    Thank you again.

    Scott ๐Ÿ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Sara B. 02/08/2023 - 08:13

    Hey Sara.

    I hope you are well and having a lovely week. Thank you so much for sharing this… super interesting.

    This is not a technique I have used specifically. I suppose we use this sort of method when we are using central lines. I have never used this method with peripheral catheters.

    I agree with your comments. We would normally only take blood from a peripheral catheter at the time of placement.

    I would love to hear other peoples experiences!

    Scott ๐Ÿ™‚

Viewing 15 posts - 1,096 through 1,110 (of 2,333 total)