What are three nursing considerations when caring for a client on heparin therapy?
Do not add heparin to infusion lines of other drugs, and do not piggyback other drugs into heparin line. If this must be done, ensure drug compatibility. Provide for safety measures (electric razor, soft toothbrush) to prevent injury from bleeding. Check for signs of bleeding; monitor blood tests.
What labs do you monitor for Coumadin?
A prothrombin time (PT) is a test used to help detect and diagnose a bleeding disorder or excessive clotting disorder; the international normalized ratio (INR) is calculated from a PT result and is used to monitor how well the blood-thinning medication (anticoagulant) warfarin (Coumadin®) is working to prevent blood …
What tests should be performed on a regular basis on patients receiving therapeutic heparin?
Due to the unpredictable anticoagulant response among patients given UFH, close monitoring is required. Several tests are available to monitor UFH therapy including whole blood clotting time, aPTT, activated clotting time, anti–factor Xa activity, and plasma heparin concentrations.
What lab values are followed when a patient is on a heparin infusion on warfarin?
The prothrombin time (PT) and the activated partial thromboplastin time (aPTT) are laboratory tests commonly used to monitor warfarin and heparin, respectively. These two tests depend highly on the combination of reagent and instrument utilized.
Why is heparin titrated?
Laboratory values that indicate coagulation levels in the blood help determine the proper dose of anticoagulant medications.
What is normal PTT level?
Normal PTT values can vary between laboratories but 25 to 35 seconds is considered normal.
What is INR and how is it calculated?
The INR is derived from prothrombin time (PT) which is calculated as a ratio of the patient’s PT to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using the following formula: INR = Patient PT ÷ Control PT.
What is a good INR reading?
In healthy people an INR of 1.1 or below is considered normal. An INR range of 2.0 to 3.0 is generally an effective therapeutic range for people taking warfarin for disorders such as atrial fibrillation or a blood clot in the leg or lung.
Does cranberry juice raise INR?
Case reports illustrate INR elevation associated with cranberry juice ingestion concomitantly with warfarin administration and may be associated with bleeding (eg, pericardial, gastrointestinal). In the present case report, cranberry juice was the most likely cause of the patient’s elevated INR.