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Contraindications and side effects of Clexane



Discover the Contraindications and side effects of Clexane.

This anticoagulant drug is especially used to prevent blood circulation problems.

A drug against diseases of the blood circulation.

Cardiovascular problems are probably together with dementias and cancer some of those that cause the greatest concern to the majority of the population, given the importance for our survival of the fact that the blood circulates normally through our body and that the heart keeps pumping it in the normal way.

And it is a fact that a large proportion of elderly people suffer from some type of heart or circulatory problem.

However, medical advances have allowed the development of drugs that allow treating some of these types of pathology, such as the well-known Sintrom or the drug that we are going to talk about throughout this article: Clexane.

What is the Clexane?

We call Clexane a type of anticoagulant drug widely used in the medical field, in response to complex cardiovascular problems that endanger the lives of those who suffer from them.

As an anticoagulant, its function is to reduce blood clotting, which although it is generally positive since it helps to stop bleeding in specific cases in which this process occurs to a great extent, can make it difficult for the blood to pass. and even provoke a thrombus.

Thus, thanks to the anticoagulant it is possible to keep the blood circulating in a liquid and fluid way and reduce the risk.

Clexane is a drug whose active ingredient is enoxaparin sodium, being one of the low molecular weight heparins (which are derived from non-fractionated ones) that is obtained from the intestines of the pig.

It is a drug whose main route of administration is intravenous or subdermal, and it is marketed as prepared syringes. It is not applied orally or intramuscularly.

Functions of clexane

Clexane is a drug widely used in various conditions in which it can save lives, either as a treatment or even as prevention of some life-threatening situations, all of which are linked to the cardiovascular system.

One of the main indications is in the treatment of deep vein thrombosis, an alteration in which blood clots plug one of the body’s veins, generally directed to the extremities, and which can generate important consequences (including a possible embolism pulmonary).

Also not only during treatment but also as prevention in high-risk cases or to prevent it from happening again in people who have already suffered it before.

It is also used in the treatment of acute coronary syndromes, including some types of angina pectoris and heart attacks, usually as a previous step or in conjunction with other medications, as well as in the prevention of relapses.

Likewise, it is effective in preventing possible thrombi in cases of respiratory or heart failure, as well as in people in a coma or who must remain in a recumbent position (for example, in a long convalescence) and even to prevent possible clots in the case of patients. who must undergo hemodialysis.

It must be taken into account that Clexane can be used at any age from adulthood, including very old ages if necessary.

However, there are not enough studies carried out with minors that allow us to know if it is a safe drug, being a drug that should only be applied to adults.

Possible side effects of clexane

This drug has proven to be very useful and has saved multiple lives since its discovery, but like all drugs, it is not without risks and side effects.

First of all, and as with the rest of anticoagulants, it should be taken into account that the fact that the blood is prevented from clotting causes bleeding of varying severity to arise from any part of the body.

Simple wounds and blows can bleed or generate internal hematomas of great relevance, and it must be necessary to be very careful in this regard. This is the most common secondary symptom.

Likewise, and derived from it, anemia may also appear due to blood loss. Sometimes these hemorrhages can occur at the intestinal, spinal, or intracranial level, being their much greater danger.

The possibility of appearance as well as edema, erythema, alopecia, dermatitis, or even fever has also been observed.

It has been observed that in some cases the level of potassium in the blood increases excessively or even triple the levels of transaminases and other liver enzymes.

More serious are cases of cutaneous necrosis or vasculitis, liver lesions, or thrombocytopenia that can paradoxically generate thrombosis (something that makes it necessary to periodically do a platelet count of the subject).

Contraindications of clexane

As we have seen, despite being very useful, Clexane can also generate dangerous effects, which can put certain sectors of the population at risk. That is why it has various contraindications.

One of these contraindications can be found in the cases of those who have an allergy or hypersensitivity to this drug as well as to other heparins, as well as to its multiple components.

It is contraindicated in people at high risk of bleeding, including people who are going to undergo surgery or are going to have punctures, people with ulcers, aneurysms, or vascular problems in which the walls of the vessels are more fragile.

Also in people with heparin-induced thrombocytopenia. People with high levels of potassium in the blood should avoid it, and it is not recommended in severe kidney failure (with the possible exception of its use in dialysis), as well as extreme caution in the case of liver failure.

It is also not recommended, or at least great caution and control are required, in diabetic patients due to the adrenal alterations it can cause.

Underweight or obese patients should be monitored, as there is a greater risk of bleeding or thrombi.

The use of Clexane in people taking other drugs should be consulted. Finally, and as we have indicated previously since there are no data in this regard, it is contraindicated in children.


5 Key Benefits of FD Mini C-Arm Into Orthopedic Surgeries




FD Mini C-Arm

Typically, a c-arm is used for the spine, hips, knees, femurs, and shoulders and in urological and cardiovascular surgeries. These machines are also helpful for extremity imaging, like the hands and feet. Designed with orthopedics in mind, the mini c-arm combines diversified imaging and an enhanced interface. It includes a rotating flat detector that increases imaging versatility for long bones and helps minimize radiation by preventing patient and surgeon exposure to the unused area of the detector.

Better Image Quality

Orthoscan FD fluoroscopes can image the extremities more precisely, with greater detail and clarity than its traditional counterparts. With the added benefits of lower radiation exposure and increased efficiency, it’s clear why FD mini C-arm is an essential tool for orthopedic surgery centers. Consider how easy a machine will be when choosing a mini c-arm for your practice. Your radiographers, surgeons, and other staff should be able to master a new machine intuitively and quickly without reading manuals or investing extra time in training sessions. Ensure the C-arm’s x-ray source and image intensifier are as far away from the extremity being studied as possible to decrease direct and scattered exposure. A high-performance, flat detector also reduces radiation exposure.

Increased Efficiency

The Orthoscan FD mini C-arm allows surgeons to operate the system independently from radiology techs and has been shown to reduce OR time. Its compact size and easy maneuverability make it an excellent fit for most ORs, including smaller ones that may need more space for larger fluoro systems. Its rotating flat detector provides more imaging flexibility for long bones. It is designed to minimize patient and operator exposure with a low-dose option that offers clinically equivalent image quality. The system also features a 24” HD touchscreen interface, allowing for an easy and intuitive operating experience.

Increased Safety

Studies show that mini C-arms reduce ionizing radiation exposure to surgeons and OR staff compared to standard x-ray devices. This is because they have smaller detector areas, tighter beam collimation, surgeon control of screening, and the new technique of pulse fluoroscopy. They also allow for more excellent maneuverability of the C-arm to image hard-to-reach spots and a more precise positioning capability. Additionally, some mini C-arms can use the same navigation system as traditional mobile systems to help with image-guided surgery. This can significantly cut down on the amount of time it takes for physicians to acquire and view 2D images, and it can eliminate the need for a radiology technician to operate the machine.

Increased Flexibility

Moving the C-arm around the OR and the patient quickly and easily provides greater flexibility for the surgeon. This can make it easier for the surgeon to get a great view of an area, reduce repositioning time, and improve efficiency. Another benefit of incorporating a c-arm is that it can reduce the number of unnecessary radiation doses to the surgeon’s hands. However, it’s important to remember that, just like any X-ray source, the surgeon should always wear PPE when in the direct path of the beam to prevent unnecessary exposure.

Increased Patient Satisfaction

C-Arm imaging devices are a staple in medical imaging. They’re used to image in real-time during procedures, making them a vital component of various surgical settings. They help reduce the amount of repositioning needed, decreasing surgery time and improving patient outcomes. The Orthoscan FD mini C-arm is a smaller, lightweight device that doesn’t require a cooldown period. This means you can quickly move it around the OR without worrying about breaking it if it’s handled roughly, or the cooldown if you have multiple patients in queue.

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A Comprehensive Guide to Fuel Cards Fraud Prevention




Fuel Cards Fraud Prevention

In addition to capturing level III data, the best fuel cards offer back-end reporting and analytics that can help you spot trends. Some even allow you to set daily purchase limits for a particular driver, vehicle, or route.

Internal fuel fraud can be caused by many things, including hidden skimming devices at gas stations or an employee purchasing items unrelated to work. Ask your fuel card provider about implementing PINs or driver IDs that will help prevent this type of fraud.

Real-Time Monitoring

The best credit cards for gas offer real-time purchase transaction data through online accounts corresponding to each card. This lets companies compare driver spending instantly to ensure compliance with policy and detect unauthorized use or fraud.

If the cards are linked to a specific truck or vehicle, you can even have each purchase report tagged with the driver’s name so you can identify them in cases of theft and loss. Some cards also allow you to set authorization controls – like purchase limits – to restrict them from purchasing fuel, preventing other purchases such as shop goods or food.

Some fleet fuel cards can also detect skimming (an overlay device installed on the pump keypad to steal credit or debit card information). They may provide security controls that alert you when a swipe goes outside your business’s normal range.

The type of fleet management fuel card you choose will depend on your priorities and your fleet’s size, purpose, and location. Many systems will also work within a private loop to avoid PCI norms and implement hardware security modules. This will help your company comply with PCI-DSS while protecting sensitive data from hackers and reducing risk.

Proximity Validation

With advanced online tools that include tracking, alerts, and spending limits, fleet cards can help you crack down on fraud from rogue employees or even criminals who target companies with credit cards. Fleet managers can also set up spending limits and gallons for each driver or vehicle, helping to curb costs while protecting the business.

In addition to spending and gallons per transaction, many fleet fuel cards can offer product or tank type restrictions. These can help prevent vehicles or equipment from being filled with the wrong fuel, leading to maintenance issues and engine failure. Another valuable feature is PINs or driver IDs, which are required to complete a purchase. These 4-6 digit codes verify the identity of each driver and ensure only authorized purchases are made.

Finally, fleet cards often come with discounts at truck stops like TA and Love’s that can save your drivers money on diesel and other maintenance. This can be a big advantage, especially when you’re looking to cut costs while improving the safety and security of your fleet.

Daily Transaction Reports

Fleet fuel cards can help prevent fraud by tracking every purchase automatically. This gives you a snapshot of all activity and lets you flag suspicious transactions in real-time. A good card will also send a receipt to the driver so they can know what they’re spending their company money on.

A fuel card can help you identify unauthorized purchases as they happen and quickly respond to them by blocking or canceling the account. This helps protect your bottom line and prevents rogue employees from draining the bank.

Some fuel cards will let you customize your reports to include details like truck category, odometer readings, etc. This allows you to see all purchases in one place and optimize spending for the best results. Many cards will also show you who’s purchasing what, which vehicle, and when – another great way to spot misuse and reduce fuel waste.

Some fuel cards can check a truck’s built-in telematics data to monitor the tank level during each swipe. This eliminates the need for hardware that may have been required in the past and provides a more accurate method for detecting fuel theft. This can also help cut costs by reducing idling hours, which cuts engine wear and fuel use.


A good fleet fuel card company has multiple tools to protect your company from internal and external fraud, such as a dedicated and on-call fraud team, multiple anti-fraud checks for every transaction, CCTV coverage at all locations, and the ability to identify suspicious activity by reviewing receipts. But it’s also important to understand that fleet managers and drivers must also be involved in fuel card security and fraud prevention.

If your drivers know that you’re monitoring their behavior and that petty theft, side fueling, and fraud will not go unnoticed, they’re more likely to cooperate rather than hide or accuse one another. In addition, educating drivers on the seriousness of fuel fraud will help them realize that their actions can cause your company significant financial loss.

Additionally, choosing a fuel card program that allows you to control your budget by route, driver, or vehicle is a great way to stay on top of fleet spending. The ability to set product exceptions, such as unleaded usage, and receive alerts if your fueling patterns deviate from the norm can further prevent unauthorized purchases. Some budget control tools even allow you to halt fraudulent transactions in real time and provide alerts for unusual or suspicious activities, such as location tampering or skimming. This can prevent the use of stolen data by criminals posing as fleet employees at the pump.

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Step into Comfort: The Top 5 Pedorthists Offering Expert Foot Pain Relief





Certified pedorthists are footwear and orthotic experts trained to assess the function of the foot and lower limb. They specialize in designing, manufacturing and fitting custom footwear and orthotics.

They’re also compression fit experts and comfortable working with family doctors to find a treatment plan.

Pedorthists are experts

They know who you should see and when is important for foot care. Podiatrists and pedorthists are trained to care for your feet but have different roles.

Pedorthists focus on footwear and orthotics that prevent or improve painful or disabling conditions that originate in the lower extremities. They also provide follow-up care and coordinate services with medical professionals.

Pedorthist Ottawa is abexpert in designing, fabricating, and modifying footwear to meet a patient’s unique mobility needs. They help to restore a patient’s ability to walk with comfort, ease and confidence by utilizing nonsurgical treatment methods that are proven effective. In addition to creating and modifying footwear, pedorthists also design and manufacture custom orthotics. This allows them to be the best foot care specialists in Canada.

Pedorthists are trained

A pedorthist has specialized training to modify footwear and employ supportive devices to address conditions that affect the lower extremities. Credentialed pedorthists are experts in footwear design and manufacture, foot orthotic fabrication, shoe construction and modification, gait analysis, lower extremity anatomy, biomechanics and patient/practice management.

They are also compression fit certified and have lower limb brace experience. They work with you and your physician to provide a comprehensive pediatric treatment plan.

A pedorthist will help to balance the lower extremities from the feet and ankles up to the knees and hips. This will allow your body to move more effectively and with less pain and discomfort. Pedorthists will offer many conservative or nonsurgical treatments based on the physician’s diagnosis and their assessment of the symptoms.

Pedorthists are covered by insurance.

Pedorthists have specialized knowledge in designing, manufacturing and fitting custom footwear and foot orthoses to help alleviate conditions due to disease, overuse, congenital disability or injury. They are also trained to make shoe modifications, such as shoe lifts.

Most health insurance plans cover pediatric services and products. However, checking with your health plan is important as coverage and benefits may vary.

Pedorthists and podiatrists are foot care professionals, but they have different roles in treating your feet. Podiatrists are medically and surgically qualified to treat your feet, while pedorthists are allied healthcare professionals who focus on footwear to help improve mobility and reduce pain. Depending on your condition, you should visit a podiatrist and a pedorthist.

Pedorthists are flexible

Pedorthics is a non-invasive, conservative approach to treating painful foot and ankle conditions. It consists of shoes, custom orthotics and orthopedic shoe modifications.

A pedorthist’s day-to-day tasks involve advising patients on selecting footwear and making and modifying footwear to help people maintain or regain mobility and reduce pain. They collaborate with doctors and other healthcare specialists to offer their patients the best course of therapy.

A pedorthist may work individually or for a pediatric business that runs shoe stores and orthotics labs, depending on the needs of their patients. They have the option of working full- or part-time. Thanks to this, they can select the hours that best suit their needs and way of life. In addition, pedorthists can design their orthotics on-site or have them made in a facility off-site.

Pedorthists are affordable

Your feet are one of the most complex structures in your body. They contain 26 bones, 33 joints and 107 ligaments and muscles. They are also part of the locomotor system, the group of techniques that allows you to move and live. With the right care, you can maintain your foot health and reduce your chances of developing problems with your lower limbs.

Pedorthists are experts in modifying footwear and employing supportive devices to treat conditions affecting the feet and lower limbs. They can also perform a comprehensive assessment of your lower limbs, including gait analysis, to determine whether orthotics are required. Pedorthist services are affordable and may be covered by your insurance plan or private funding. Contact our clinic today to learn more about how we can help you.

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