nursing notes

23
Anticoagulation therapy No IM drugs during Anticoagulants are antithrombotic drugs\ complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4 th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8 th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin) Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of enoxaparin by slow IV injection Warfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K). Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin Anticoagulation therapy No IM drugs during Anticoagulants are antithrombotic drugs\ complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum

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Page 1: Nursing notes

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injection

Page 2: Nursing notes

Warfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K). Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Page 3: Nursing notes

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild

Page 4: Nursing notes

thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Page 5: Nursing notes

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline

Page 6: Nursing notes

hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

Page 7: Nursing notes

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on

Page 8: Nursing notes

HeparinAnticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)

Page 9: Nursing notes

Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of enoxaparin by slow IV injection

Warfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K). Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to

Page 10: Nursing notes

increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs:

Page 11: Nursing notes

Unfractionated heparinDoes not dissolve existing thrombus, but prevents the extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on

Page 12: Nursing notes

anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline

Page 13: Nursing notes

information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Page 14: Nursing notes

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injection

Page 15: Nursing notes

Warfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K). Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin

Anticoagulation therapy No IM drugs duringAnticoagulants are antithrombotic drugs\

complete laboratory tests before the start of anticoagulant therapy to establish baseline information about the patient's coagulation status and to serve as a reference for comparison during therapy. The Institute for Safe Medication Practices recommends completing a baseline hematocrit, hemoglobin, serum creatinine, and platelet count before starting patients on anticoagulant therapy

Types of anticoagulant drugs: Unfractionated heparinDoes not dissolve existing thrombus, but prevents the

extension of the thrombus and more thrombi from forming. May cause mild thrombocytopenia (Appears on 4th day of therapy and resolves with continued therapy. Heparin-induced thrombocytopenia occurs on 8th day and may lead to increased resistance to heparin therapy. Protamine sulfate is antidote. Due to short half life overdose can be treated by withdrawing the drug

Page 16: Nursing notes

Low-molecular-weight heparin (Enoxaparin, Dalteparin, and Tinzaparin)Enoxaparin (Lovenox) Antidote Protamine sulfate 1mg for each mg of

enoxaparin by slow IV injectionWarfarin (Coumadin)Antidote Vitamin K (Avoid foods high in vitamin K).

Takes 3-5 days to reach effective levels; Usually begun while patient still on Heparin