TY - CHAP M1 - Book, Section TI - Drugs Affecting the Blood A1 - Jobst, Erin E. A1 - Panus, Peter C. A1 - Kruidering-Hall, Marieke PY - 2020 T2 - Pharmacology for the Physical Therapist, 2e AB - CASE STUDYS.R. is a 66-year-old retired man who has been participating in a conditioning program at a wellness center for 2 months without incident. The program includes walking on a treadmill, upper extremity resistance exercises, and abdominal exercises. During the summer, the wellness center provides an area for clients to exchange produce from their gardens. S.R. has atrial fibrillation and stable angina pectoris and is currently taking warfarin in addition to antianginal drugs. S.R. participates in the conditioning program 4 days per week. A physical therapist reviews his status and modifies the exercise prescription every other week. Last week, S.R. was absent. This week, he participated on Monday and Tuesday, and the therapist reviewed his status on Wednesday. During the initial discussion, S.R. stated he was out of town visiting his grandchildren and he kept up with his medications but not his conditioning program. He also mentioned that he missed the fresh vegetables last week while away. Today, he complains of pain in his shoulders and knees. He figures it was the result of not keeping up with his exercise program last week and getting started again. The therapist notices a circumferential bruise around the right wrist that appears several days old. When questioned, S.R. states that the bruise must have been due to his grandchildren leading him by the wrist last week. The therapist asks the client whether he knows his current INR level. When S.R. responds that he has not had his INR level checked for the past few weeks, the therapist advises him to discontinue the conditioning program until he is certain that his anticoagulation level is within a safe therapeutic range. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192814735 ER -