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janie

34 Posts

Posted:  15-Jun-2017 19:18
I have a patient booked tomorrow morning for Hep A typhoid ( have to give separately as combination out of stock) and revaxis However he is taking warfarin Not sure if these can be given subcut
tiredandemotional

3944 Posts



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Posted:  15-Jun-2017 19:24 Log in to like this post
Do you have PGDs for these?

Many PGDs mention giving injections as deep sub-cut in the case of bleeding disorders.

Personally, I don't see a warfarinised patientwith an INR in range as having a bleeding disorder, and I would give these injections IM.

Others may disagree, and most PSDs would support this. 

Giving S/C will not reduce the efficacy of the vaccine, though it may increase the risk of localised reactions.

This is just my opinion and not an instruction. T&E x
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