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Neuraxial and Anticoagulants > Neuraxial and anticoagulants > Flashcards

Neuraxial and anticoagulants Flashcards

1
Q

Heparin
5000 units
SQ Q8h/Q12h

A

Time between last dose and placement:
4-6 hours (aPTT<40)

With Catheter in place:
Ok to give

Time between last dose and DC:
1 hour

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2
Q

Heparin
7500 units
SQ Q8h/Q12h

A

Time between last dose and placement:
12 hours (aPPT<40)

With Catheter in place:
OK to give

Time between last dose and DC:
1 hour

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3
Q

Heparin IV infusion

A

Time between last dose and placement:
4-6 hours (aPTT<40)

With Catheter in place:
ok to give

Time between last dose and DC:
1 hour

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4
Q

Dalteparin (Fragmin)

A

With Catheter in place:
X CONTRAINDICATED X

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5
Q

Enoxaparin (Lovenox)
40mg SQ daily

A

Time between last dose and placement:
>12 hours

With Catheter in place:
ok with Qdaily dosing but no other anticoags allowed

Time between last dose and DC:
4 hours

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6
Q

Enoxaparin (Lovenox)
30mg SQ Q12h

A

Time between last dose and placement:
>12 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
4 hours

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7
Q

Enoxaparin (Lovenox)
1.5mg/kg SQ daily or 1mg/kg SQ q12h

A

Time between last dose and placement:
>24 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
4 hours

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8
Q

Fondaparinux (Arixtra)

A

Time between last dose and placement:
36-42 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
6 hours

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9
Q

Apixaban (Eliquis)
2.5mg BID
5mg BID

A

Time between last dose and placement:
3 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
6 hours

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10
Q

Rivaroxaban (Xarelto)
15-20mg daily

A

Time between last dose and placement:
3 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
6 hours

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11
Q

Betrixaban (Bevyxxa)
80mg daily

A

Time between last dose and placement:
3 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
5 hours

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12
Q

Edoxaban (Savaysa)
30-60mg daily

A

Time between last dose and placement:
3 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
5 hours

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13
Q

Dabigatran (Pradaxa)
75-150mg BID

A

Time between last dose and placement:
Creatinine clearance dependent
3-5 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
6 hours

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14
Q

Warfarin (Coumadin)

A

Time between last dose and placement:
4-5 days (INR<1.5)

With Catheter in place:
Check INR daily (<1.5)

Time between last dose and DC:
Remove when INR < 1.5

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15
Q

Argatroban IV infusion

A

X CONTRAINDICATED X

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16
Q

Bivalirudin (angiomax) IV infusion

A

X CONTRAINDICATED X

17
Q

Aspirin

A

Time between last dose and placement:
Ok to continue

With Catheter in place:
avoid neuraxial if use of other anticoagulants

Time between last dose and DC:
ok to continue

18
Q

NSAIDs

A

Time between last dose and placement:
Ok to continue

With Catheter in place:
avoid neuraxial if use of other anticoagulants

Time between last dose and DC:
ok to continue

19
Q

Aspirin/Dipyridamole (Aggrenox)

A

Time between last dose and placement:
24 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
6 hours

20
Q

Cangrelor (Kengreal) IV infusion

A

Time between last dose and placement:
3 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
8 hours

21
Q

Clopridogrel (Plavix)

A

Time between last dose and placement:
5-7 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
w/o LD: immediate
w/ LD: 6 hours

22
Q

Pasugrel (Effient)

A

Time between last dose and placement:
7-10 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
w/o LD: immediate
w/ LD: 6 hours

23
Q

Ticagrelor (Brilinta)

A

Time between last dose and placement:
5-7 days

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
w/o LD: immediate
w/ LD: 6 hours

24
Q

Abciximab (Reopro) IV infusion

A

Time between last dose and placement:
24-48 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
contraindicated for 4 weeks post-op

25
Q

Tirofiban (Aggrestat) IV infusion

A

Time between last dose and placement:
4-8 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
contraindicated for 4 weeks post-op

26
Q

Eptifibatide (Integrelin) IV infusion

A

Time between last dose and placement:
4-8 hours

With Catheter in place:
X CONTRAINDICATED X

Time between last dose and DC:
contraindicated for 4 weeks post-op

27
Q

Alteplase (tPA)
1mg for catheter clearance

A

X CONTRAINDICATED X

28
Q

Alteplase (tPA)
Full dose for Stroke, MI, PE

A

X CONTRAINDICATED X

Neuraxial and Anticoagulants (1 decks)

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