Peer response:
1. Review your peer’s initial entry. Based on their discussion how could the research on the topic they identified change nursing practice in general?
2. Discuss a change made in your practice related to any evidence based research.
PEER’s initial entry:
Stroke Prevention in Patients With Atrial Fibrillation: A Systematic Review Update
What I learned about stroke prevention is how devastating atrial fibrillation is in reference to the formation of blood clots. According to Sanders et. al (2018), that aspirin is not an effective treatment for stroke prevention in patients with AF. Though one might think that taking a daily aspirin like many patients that have heart issues do, just aspirin alone is not indicated. “Patients with AF often have other health comorbidities” (Sanders et. al, 2018). Often medication that is available for one patient to use is not indicative for another. The risk of bleeding is a very serious matter and bleeding to death whether it be from a GI bleed to a traumatic car accident makes taking this medication a risk that must be considered. The other impact that needs to be addressed is the availability for antidotes in case of emergencies. According to Sanders et. al, “a focus should be on preventing bleeds—in particular, fatal bleeds” (2018, p. 228). Nothing can be better for a patient than prevention on activities that have the propensity to cause internal bleeding.
REFERENCES-provided:
*Advice shifting on aspirin use for preventing heart attacks
Older adults without heart disease shouldn’t take daily aspirin to prevent a first heart attack or stroke
By LINDSEY TANNER AP Medical Writer
October 12, 2021, 4:34 PM
https://abcnews.go.com/Health/wireStory/advice-shifting-aspirin-preventing-heart-attacks
