Anticoagulants

Reason for anticoagulation (e.g., atrial fibrillation, DVT, PE)


Indication for anticoagulation (e.g., stroke prevention, treatment of thromboembolism)


Specific type of oral anticoagulant used (warfarin, direct oral anticoagulants (DOACs) such as apixaban, dabigatran, edoxaban, rivaroxaban)


Dose and frequency of anticoagulant medication


Compliance with medication and any issues with adherence


History of dosage adjustments or changes in medication



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Reports Bleeding gums Nosebleeds Unusually heavy periods Red or black stools Red or pink urine Coughing up blood Vomiting blood

Reports No Bleeding gums No Nosebleeds No Unusually heavy periods No Red or black stools No Red or pink urine No Coughing up blood No Vomiting blood

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Reports Bleeding from the rectum Bleeding from the urinary tract Bleeding from the gums Unexplained bruising Bleeding after minor trauma Bleeding after surgery Bleeding after dental procedures Bleeding after invasive medical procedures

Reports No Bleeding from the rectum No Bleeding from the urinary tract No Bleeding from the gums No Unexplained bruising No Bleeding after minor trauma No Bleeding after surgery No Bleeding after dental procedures No Bleeding after invasive medical procedures

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Red Flag Symptoms

Reports Head injury Loss of consciousness Confusion Weakness Numbness Tingling Severe abdominal pain

Reports No Head injury No Loss of consciousness No Confusion No Weakness No Numbness No Tingling No abdominal pain

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Red Flag Symptoms

Reports Severe back pain Coughing Shortness of breath Dyspnea Difficulty breathing Pallor Rapid heart rate Drop in blood pressure

Reports No back pain No Coughing No Shortness of breath No Dyspnea No Difficulty breathing No Pallor No Rapid heart rate No Drop in blood pressure

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Has a history of Bleeding disorders Recent surgery Recent trauma Liver disease Renal impairment Peptic ulcer disease Recent stroke Recent gastrointestinal bleeding Recent intracranial bleeding Recent use of antiplatelet medications (aspirin, clopidogrel) Concurrent use of other anticoagulants

Has no history of Bleeding disorders Recent surgery Recent trauma Liver disease Renal impairment Peptic ulcer disease Recent stroke Recent gastrointestinal bleeding Recent intracranial bleeding Recent use of antiplatelet medications (aspirin, clopidogrel) Concurrent use of other anticoagulants

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Details of INR monitoring (for warfarin users) Any lifestyle changes discussed (e.g., diet, alcohol consumption) Use of medications that may interact with anticoagulants (over-the-counter medications, herbal supplements) Use of patient support tools (e.g., pill organizers, reminder apps)

Previous adverse events related to anticoagulation and their management Experience with reversal agents (e.g., vitamin K, prothrombin complex concentrate, idarucizumab, andexanet alfa) Any upcoming procedures or surgeries and plans for perioperative management

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Family history of bleeding disorders or clotting disorders


Social history (e.g., alcohol consumption, recreational drug use)


Concerns or questions about anticoagulation or related issues



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Any other relevant details



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