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Coagulation 2

Terms in this set (11)

5,000u SC q8h

7,500u SQ q8h
Prophylaxis Dosing

UFH

Dose:

BMI ≥ 40
40mg SC QD


40mg SC q12h
Prophylaxis Dosing

Enoxaparin

Dose:

BMI ≥ 40
5,000u SC QD

7,500u SQ QD
Prophylaxis Dosing

Dalteparin

Dose:

BMI ≥ 40
2.5mg SQ QD

5mg SC QD
Prophylaxis Dosing

Fondaparinux

Dose:

BMI ≥ 40
Hospitalized - UFH, LMWH, Fondaparinux

Perioperative - UFH or LMWH

Post-Surgery - UFH, LMWH, Fondaparinux x at least 7 days + mechanical compression in high risk

Post-surgical Prophyaxis - up to 4 weeks

Ambulatory - none or LMWH

Catheters - none
Prophylaxis recommendations

Hospitalized -
Perioperative -
Post-Surgery -
Post-surgical Prophyaxis -
Ambulatory -
Catheters -
Renal - UFH

Obesity or < 50kg - UFH

Active Chemotherapy - recommended in myeloma pts receiving thalidomide or lenalidomide (THOSE TWO DRUGS NEED PROPHYLAXIS)

Contraindication to anticoagulants - mechanical compression devices
Special populations prophylaxis

Renal -
Obesity or < 50kg -

Active Chemotherapy -

Contraindication to anticoagulants -
at least 7 days or HIGH RISK x 4 weeks
how long is surgical prophylaxis?
complication of underlying disorder that results in widespread activation of coagulation
- sepsis
- tumors
- trauma

it produces both a thrombus and a hemorrhage
What is Disseminated Intravascular coagulation?
treat underlying disorder
Treatment for DIC?
APAP and antihistamine
If someone is getting packed RBC's what do we have to give them?
cause transfusion reactions

cause anaphylaxis

cause transfusion related acute lung unjury

cause volume overload
All blood products can what?
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