Perioperative Warfarin (Coumadin) Management Navigating a fine line between bleeding and thromboembolic complications Perioperative management of the chronically anticoagulated patient is like navigating a fine line between bleeding versus thromboembolic complications. INR The INR is used for monitoring patients who have been stabilized on Anticoagulant Therapy. Conventional Anticoagulation: INR = 2.0 - 3.0 High Intensity Anticoagulation: INR = 3.0 - 3.5 Any INR >5.0 is considered a CRITICAL "Bridging” is a term used to describe the temporary use of short-acting anticoagulants (heparin or Low Molecular Weight Heparin, LMWH) during the pause of warfarin therapy. LMWH available in the US: dalteparin (Fragmin®) and enoxaparin (Lovenox®). CHAD SCORE C Congestive Heart failure 1 H Hypertension 1 A Age >75 years 1 D Diabetes 1 S2 Stroke or ...
This is a blog by Kaleem Mohammed, PhD, for those who want to understand little more about health conditions and medications. He is a community pharmacist and chronic disease educator for Salt Lake County Health dept. As an Asst. Prof at University of Utah, he taught pharmacology to MD, PA and PharmD students. His Hypoxia Inducible Factor-1 research has been cited by Drs. Gregg Samenza/EJ Corey (Nobel, 2019/1990)