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Heparin in pregnancy

  • Heparin (unfractionated) in pregnancy protocols

    File

    Description

    Prophylactic protocol

    UFHprophpregSCinit.vb-link.vb

    UFHprophpregSCadjust.vb-link.vb

    Therapeutic protocol

    UFHtherpregSCinit.vb-link.vb

    UFHtherpregSCadjust.vb-link.vb

    These Visual Basic files will allow you to store the Heparin (Unfractionated) in pregnancy protocols on your Pocket PC.

    • The prophylactic (UFHprophpregSC) protocol targets a lower antifactor Xa activity range than does the therapeutic (UFHtherpregSC) protocol.
    • Each protocol consists of two files: an "initiate"(init.vb) file and an "adjust"(adjust.vb) file.
    • The UFHprophpregSCinit.vb and UFHtherpregSCinit.vb files are used for the initiation of unfractionated heparin subcutaneous therapy in a pregnant woman.
    • The UFHprophpregSCadjust.vb and UFHtherpregSCadjust.vb files are used thereafter to adjust the heparin subcutaneous dose based on antifactor Xa activity results from a pregnant woman receiving unfractionated heparin. 

    Prophylactic protocol

    hepPROPHY, SQ_pregnancy adjust.xls

    hepPROPHY, SQ_pregnancy initiate.xls

    Therapeutic protocol

    hepTHERA, SQ_pregnancy adjust.xls

    hepTHERA, SQ_pregnancy initiate.xls

    The Heparin (unfractionated) in pregnancy protocol consists of 4 files:

    • The prophylactic (hepPROPHY, SQ) protocol targets a lower antifactor Xa activity range than does the therapeutic (hepTHERA, SQ) protocol.
    • Each protocol consists of two files: an "initiate.xlsfile and an "adjust.xls" file.
    • The hepPROPHY, SQ_pregnancyinitiate.xls and hepTHERA,SQ_pregnancy initiate.xls files are used for the initiation of unfractionated heparin subcutaneous therapy in a pregnant woman.
    • The hepPROPHY, SQ_pregnancyadjust.xls and hepTHERA, SQ_pregnancyadjust.xls files are used thereafter  to adjust the heparin subcutaneous dose based on antifactor Xa activity results from a pregnant woman receiving unfractionated heparin. 



    UFH Monitoring Flow Sheet.xls

    Monitoring flow sheet

    This monitoring flow sheet may be used to track and document patient demographics, heparin doses, and antifactor Xa results.

    SQ injection.doc

    CareNotes Heparin.doc

    InjectionSites.pdf

    Patient education materials

    • The SQ injection.doc outlines the step-by-step procedure for patient self-injection of subcutaneous heparin.
    • Patient information about the purpose, use, storage, drug interactions, and side effects of heparin are found in CareNotes Heparin.doc (Thomson MICROMEDEX. All rights reserved. The CareNotes(TM) System).
    • A SQ injection site rotation record is found in InjectionSites.pdf.

    References

    Rosborough TK, Shepherd MF. Achieving target antifactor Xa activity with a heparin protocol based on sex, age, height, and weight. Pharmacotherapy 2004;24(6):713-9.

  • Source: Medication Protocols-Abbott Northwestern Hospital
    Reviewed by: Shelley Shepherd, PharmD, MS;Terry Rosborough, MD
    First published: 09/01/2004
    Last reviewed: 03/16/2007


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