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Heparin Laboratory/Dosing Algorithm post-initial bolus therapy
|Synonyms||Monitoring Anticoagulation; UFH ; LMWH; Enoxaparin; Unfractionated heparin; Low molecular weight heparin|
|Additional information|| Recommendations regarding anticoagulation and monitoring of anticoagulation for adults can be obtained from the Adult Hematology Consultation service, which can be contacted at pager 443-4276. Recommendations regarding anticoagulation and monitoring for pediatric patients, can be obtained from the Pediatric Hematology Consult service, which can be contacted at pager 443-6966.
Refer to "Intravenous Heparin Order Form (Adults)" or "Antithrombotic therapy Order Form (Adults) Cardiology Service Only" or "Children's Hospital Unfractionated Intravenous Heparin Order Form" for more complete information. The information below is for reference purposes only.
Adult patients receiving > 35,000 units/day of unfractionated heparin may benefit from monitoring with Heparin Levels. Ref: Arch Intern Med 1994 154:49-56.
Heparin Laboratory/Dosing Algorithm post-initial bolus therapy:
1. Obtain first PTT 6 hours after initiation of heparin therapy.
2. FOLLOW ALGORITHM BELOW
3. Obtain PTTs Q6 hours until therapeutic or after a dose change and adjust rate using TABLE below*
4. Obtain daily PTT after PTT is stable*
5. Obtain daily CBC & platelets
6. Obtain stool guaiac every other day
MOFFITT-LONG / MISSION BAY / MT ZION CHART
*Stable=2 consecutive aPTT values within therapeutic range [aPTT 53-74.9]
Note: This chart is designed for use only at Moffitt-Long / Mission Bay / Mt Zion Hospitals. Because the PTT therapeutic range MAY DIFFER between Moffitt-Long / Mission Bay / Mt Zion and other hospital laboratories it cannot be assumed to be appropriate for use elsewhere.
Refer to "Children's Hospital Unfractionated Intravenous Heparin Order Form" and contact Pediatric Hematology Consult service at pager 443-6966.
|Last Updated||10/20/2016 3:28:41 PM|