I don’t get the vitamin k thing. There is no known benefit (pubmed.ncbi.nlm.nih.gov/23080365/). And the harm is that It sends mixed signals. It undoes the teaching about the #cirrhosis coagulopathy. Because iv vit k is special and novel, it’s a consult rec that sticks. Needs reconsidering
For my #livertwitter friends replying about vit K deficiency in malnutrition, I am not mad at ya, I have nothing but love for you! I see - and address - malnutrition in every patient I meet! I am pro-food, pro-vitamin! I am happy we can still talk this out
Evidence for vitamin K deficiency is strongest in cholestatic dis, @KowdleyMd, but even there it is not linked to PT/INR (pubmed.ncbi.nlm.nih.gov/9362192/)
Data on the prevalence of vit K deficiency is weak. This study of hosp pts w/#cirrhosis, it's 3-5% (mdpi.com/2072-6643/13/4…)
Data on the prevalence of vit K deficiency is weak. This study of hosp pts w/#cirrhosis, it's 3-5% (mdpi.com/2072-6643/13/4…)
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