We are located mid way between the villages of Ranelagh and Rathmines. On the main Luas and Bus lines. Belgrave Clinic is open from 8am until late, Monday to Friday. The Belgrave Clinic is a general practice that cares for individuals, families and groups living in the wide vicinity of south city Dublin. To register with the practices or make an appointment please phone 01 It is very important that you notify the Practice if you have moved address or changed your mobile phone number. The Surgery is open as usual but the way we operate our services has changed in order to minimise risk to our patients and staff during this time of national crisis.
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Usually, warfarin therapy is stopped 4 to 5 days prior to surgery. In patients with an intermediate- or high-risk for thromboembolism, give either heparin or low molecular weight heparin LMWH as the INR falls. Administration of vitamin K 24 to 48 hours prior to surgery will shorten the duration of heparin or LMWH prior to surgery; however, it may make it more difficult to reinstitute warfarin anticoagulations. In situations with a low risk of bleeding, another option is to lower the dose of warfarin and operate at an INR of 1. An INR more than 4 appears to provide no additional therapeutic benefit https://www.md.com in most patients and is associated with a higher risk of bleeding.
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