ACT
Normal 70-120
Therapeutic >300
Warafin
Warfarin/ comadin
Take @ same time each day
RBC
Men 4.5-6
women : 4-5
PAD
dependent rubor
Elevation pallor
Intermittent Claudication
Parasthesia
Decreased/absent pulses
Thin shiny taught hairless skin
Ulcer & ischemia : ulcers on toes and lower extremities (lateral Malleolus)
——> light pink or Eschar with punched out appearance & minimal drainage
PTT
Normal 30-40s
Therapeutic 46-70s
enoxaparin
Protamine
Low molecular weight heparin
Deltaparin & enoxaparin
SQ
Routine coag. Tests not required
Monitor cbc
DONT EXPEL AIR BUBBLE
WBC
5-10k
PVD
swelling edema
Pain that’s throbbing / aching
Pain upon dependence & relief on elevation
Brown bronzing skin
Bounding pulses & warm skin
ulcer : medial malleolus, irregular borders, lots of drainage painful, dark red granular tissue
Warafin
Norm :0.75-1.25
Therapeutic: 2-3
Heparin sodium
Protamine @ regular intervals
Heparin sodium
heparin sodium
IV or SQ
Monitor PTT & ACT to find therapeutic range
Playlets
150k-400k
Low molecular weight heparin: enoxaparin
Therapeutic : 1.5units/ml
Factor Xa inhibitors
Andexanet alfa
Factor XA inhibitors
End in XABAN aside from SQ fondaparinux
LEAVE air bubble
Routine coag. Not needed monitor CBC
MAY CAUSE THROMBOCYTOPENIA
Hgb
Men 14-18
Women 12-16
Heparin sodium
Act therapeutic :>300
Ptt therapeutic: 46-70s
VKA bleeding
IV vit K w frozen plasma
Guess what number
3
Hct
Men:45-55
Women:37-47