Heparins

Question 1

Heparin SE

Answer 1

Heparin induced thrombocytopenia- recognised by skin allergy or if platelet count is reduced <30%. If this occurs stop and use an alternative

Hyperkalemia- Patients at greater risk include diabetic, renal failure, acidosis, increased potassium levels, taking potassium sparing drugs

Question 2

Monitoring of heparins

Answer 2

Platelet count before treatment (if using for more than 4 days then more regular)
Potassium levels before treatment (if using for more than 7 days then regular monitoring required)

Question 3

LMWH V heparins

Answer 3

LMWH preferred as they have longer duration of action
Once daily SC
Lower risk of heparin induced thrombocytopenia