More Guidelines Flashcards
In patients requiring Vitamin K antagonists before surgery it should be stopped
5 days prior to surgery
In patients with mechanical valves, atrial fibrillation, or at high risk of VTE in regards to bridging
Bridging anticoagulation is recommended
Low risk VTE patients and bridging
No bridging indicated
dental procedure and vitamin K antagonists
Continue them with coadminstration of prohemostatic agent or stop 2-3 days before procedure
In mod-high risk patients taking ASA requiring non-cardiac surgery
continue ASA
In patients with a bare metal stent or drug eluding stent must wait how long before surgery
More than 6 weeks for bare metal
More than 6 months for drug-eluding
If surgery is indicated and time is less than that indicated for stents, what to do with anticoagulants
continue dual antiplatelet therapy perioperatively
When to restart vitamin K antagonists if stopped prior to surgery
12 to 24 hours after surgery and adequate hemostasis
In patients with derm procedures Vitamin K antagonists should be
continued perioperatively
In patients at low risk for CV events who are taking ASA anticipating surgery
stop 7-10 days prior to surgery
ASA and clopidogrel/prasugrel in regards to CABG
continue ASA
stop clopidogrel/prasugrel 5 days prior
Patients receiving heparin infusion in regards to anticipated surgery
stop 4-6 hours prior to surgery
Dosing of LMWH in regards to anticipated surgery
last dose should be administered 24 hours prior to surgery
Not 12 hours
Patients at high risk of bleeding surgery and resuming LMWH postoperatively
resume 48-72 hours after surgery
Increased risk of bleeding surgeries
Urologic PPM/ICD placement Colonic polyp resection High vascularized organs (spleen, kidney, liver) bowel resection Cardiac, spinal, cranial surgery
Healthy outpatient regimen for starting VKA (warfarin)
10 mg for first 2 days