Policies and procedures

Consults, protocols, and therapeutic interchanges

System_RXCLIN 102 Pharmacy Consult for Argatroban for Heparin Induced Thrombocytopenia

Key Points:

• Pharmacists will evaluate indication and current patient status and will optimize dosing and monitor labs “per policy”
• Pharmacist will order PTT monitoring 3 hours after initiation and rate changes
• Document a heparin/low molecular weight heparin allergy if heparin-induced thrombocytopenia is confirmed
• Pharmacists will document in Epic using i-Vents and consult notes with every rate change and at least daily

Additional information

Therapeutic anticoagulant transition guide 2019

• Micromedex
• UpToDate
• Lexicomp