Question: What is the antidote for Heparin?
AHGL Drug/Medication Questions from HealthStream
Answer: • Protamine sulfate
• Sometimes reasonable to just stop the medication (Heparin) since it has a short half-life.
AHGL Drug/Medication Questions from HealthStream
Question: How much protamine sulfate should be given as an antidote for Heparin?
AHGL Drug/Medication Questions from HealthStream
Answer: • 50 mg, 1 mg per 100 units Heparin.
AHGL Drug/Medication Questions from HealthStream
Question: How fast is protamine sulfate administered?
AHGL Drug/Medication Questions from HealthStream
Answer: • 50 mg slowly over 10-15 min.
• No more than 50mg in a 10 min period.
AHGL Drug/Medication Questions from HealthStream
Question: What is the recommended frequency for monitoring of labs for heparin?
AHGL Drug/Medication Questions from HealthStream
Answer:
Question: What is Warfarin/Coumadin used for?
AHGL Drug/Medication Questions from HealthStream
Answer: • Long-term anticoagulation to prevent formation of blood clots.
AHGL Drug/Medication Questions from HealthStream
Question: What labs are monitored when giving Warfarin?
AHGL Drug/Medication Questions from HealthStream
Answer: • International Normalized Ratio (INR)
AHGL Drug/Medication Questions from HealthStream
Question: What is required before the pharmacy can dispense Warfarin?
AHGL Drug/Medication Questions from HealthStream
Answer: • PT/INR before dispense for a baseline.
AHGL Drug/Medication Questions from HealthStream
Question: What general things may affect patients while on Warfarin?
AHGL Drug/Medication Questions from HealthStream
Answer: • ↑: Medications
• ↑: Alcohol: > 3 drinks per day
• ↓: Food rich in vitamin K and dietary supplements
• ↑: Vitamin E > 1,000 IU per day.
AHGL Drug/Medication Questions from HealthStream
Question: What medications may enhance the effects of Warfarin?
AHGL Drug/Medication Questions from HealthStream
Answer: • levothyroxine (Synthroid)
• metronidazole (Flagyl)
• digoxin (Lanoxin)
AHGL Drug/Medication Questions from HealthStream
Question: What are examples of foods and supplements that may affect blood clotting while under Warfarin?
AHGL Drug/Medication Questions from HealthStream
Answer: • Co-enzyme Q
• Garlic
• Ginger
• Gingko
• Licorice
• St. John’s wart
• Herbal Tea
• Green Tea
• Vitamin K
AHGL Drug/Medication Questions from HealthStream