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Now showing items 41-60 of 529
SSRIs for depression/heart failure patients? Not so fast
(Family Physicians Inquiries Network, 2017)
This study should put to rest the practice of starting SSRIs in depressed patients with heart failure in an attempt to affect CVD outcomes. PRACTICE CHANGER: Do not prescribe selective serotonin reuptake inhibitors to ...
Immediate or delayed pushing in the second stage of labor?
(Family Physicians Inquiries Network, 2020)
Immediate or delayed pushing in the second stage of labor? Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia? PRACTICE CHANGER: Recommend immediate, ...
Clinical Pathway for the Fontan Patient to Standardize Care
(University of Missouri -- Kansas City, 2019)
The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single
ventricle heart. The post-operative medical management of this patient population can be
variable and hospital length ...
Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients?
(Family Physicians Inquiries Network, 2019)
Q: Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients? EVIDENCE-BASED ANSWER: Yes. Left atrial appendage closure (LAAC) with the Watchman device ...
Early pregnancy loss : pretreat with mifepristone?
(Family Physicians Inquiries Network, 2019)
Early pregnancy loss : pretreat with mifepristone? Yes. While medical management of early pregnancy loss with misoprostol frequently results in treatment failure, pretreating with mifepristone can increase efficacy. PRACTICE ...
An easy approach to obtaining clean-catch urine from infants
(Family Physicians Inquiries Network, 2018)
An easy approach to obtaining clean-catch urine from infants. Current collection methods leave much to be desired. But a new method may provide a quick alternative. Apply gauze soaked in cold sterile saline to the suprapubic ...
A new protocol for RhD-negative pregnant women?
(Family Physicians Inquiries Network, 2018)
Can cell-free DNA testing reduce unnecessary use of anti-D immunoglobulin in RhD-negative women and still prevent harm to their RhD-positive infants? PRACTICE CHANGER: Employ cell-free DNA testing at 27 weeks' gestation ...
First-time, mild diverticulitis: Antibiotics or watchful waiting?
(Family Physicians Inquiries Network, 2018)
First-time, mild diverticulitis: antibiotics or watchful waiting? Don't jump to antibiotic Tx for mild, uncomplicated diverticulitis, a recent RCT says. Observation may be just as effective. Practice changer: For mild, ...
Supplemental oxygen : more isn't always better
(Family Physicians Inquiries Network, 2019)
Supplemental oxygen: more isn't always better. A recent study says that in certain populations supplemental oxygen above certain levels can increase mortality. PRACTICE CHANGER Do not use liberal oxygen therapy (SpO2> 96%) ...
Do-it-yourself cervical cancer screening?
(Family Physicians Inquiries Network, 2020)
Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PRACTICE CHANGER: Have ...
Should you reassess your patient's asthma diagnosis?
(Family Physicians Inquiries Network, 2018)
Should you reassess your patient's asthma diagnosis? Asthma may not be a permanent diagnosis in adults. A study finds that up to one-third of adults with physician-diagnosed asthma no longer had it after 5 years. ...
Direct oral anticoagulants or warfarin for A fib?
(Family Physicians Inquiries Network, 2017)
A recent study evaluated the effectiveness of 3 direct oral anticoagulants and warfarin in patients with atrial fibrillation. So which agents came out on top? PRACTICE CHANGER: Use direct oral anticoagulants instead of ...
Does azithromycin have a role in cesarean sections?
(Family Physicians Inquiries Network, 2017)
Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: ...
"Cold turkey" works best for smoking cessation
(Family Physicians Inquiries Network, 2017)
"Cold turkey" works best for smoking cessation. PRACTICE CHANGER: Counsel patients who want to quit smoking that abrupt smoking cessation is more effective for long-term abstinence than taking a gradual approach. STRENGTH ...
What effects -- if any -- does marijuana use during pregnancy have on the fetus or child?
(Family Physicians Inquiries Network, 2017)
Q: What effects -- if any -- does marijuana use during pregnancy have on the fetus or child? Evidence-based answer: The effects are unclear. Marijuana use during pregnancy is associated with clinically unimportant lower birth weights (growth...
More help for patients with less severe heart failure
(Family Physicians Inquiries Network, 2011)
Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) [less than or equal to] 30%. Eplerenone has been found to ...
Tamsulosin for patients with ureteral stones?
(Family Physicians Inquiries Network, 2018)
Tamsulosin for patients with ureteral stones? Yes, but only for some. Find out which of your patients can benefit. PRACTICE CHANGER: Prescribe tamsulosin for stone expulsion in patients with distal ureteral stones 5 to 10 ...
Should you switch the DAPT agent one month after ACS?
(Family Physicians Inquiries Network, 2019)
Should you switch the DAPT agent one month after ACS? A randomized controlled trial says "Yes," but current guidelines say "No." PRACTICE CHANGER: Switch to clopidogrel from one of the newer P2Y12 blockers 1 month after ...
Consider this Rx for patients with high triglycerides?
(Family Physicians Inquiries Network, 2020)
A daily dose of this prescription fish oil may be worth a trial in light of the cardiovascular benefits it affords statin-treated patients with high triglycerides. PRACTICE CHANGER: Consider icosapent ethyl, 2 g twice ...
Rethinking daily aspirin for primary prevention
(Family Physicians Inquiries Network, 2020)
An updated meta-analysis of newer RCTs seems to settle the matter as to whether to use aspirin in individuals with no known history of atherosclerotic CVD. PRACTICE CHANGER: Do not routinely use aspirin for primary prevention ...