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heparin

heparin

Restricted Medications IV infusion

Brand names: Dextrose-heparin sodium, heparin sodium

Form	Strength
SOLUTION, INJECTABLE	1000 units/mL; 5000 units/mL
SOLUTION, INTRAVENOUS	50 units/mL-D5%

Display Heparins Class: 20120416

High Alert Drug : Policy

Medication comments:

heparin should generally not be interrupted during procedures unless there is a specific physician order.

High Alert Drug: IV heparin
• Two RNs independently verify dose, pump settings, and that patient is not on another anticoagulant prior to administration. • Weight-based dosing and monitoring protocol and policy • Pharmacists follow patients daily • Located in separate compartment in dispensing cabinet from Lovenox.

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
heparin IV Infusion Key: policy / order set	Y	Y	Y	Y	Y	N	N	N

Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand)	Dept.	Procedure Type (hover over entry for examples)	Stop Medication Prior To Procedure Restart after:
heparin prophylactic	Anesthesia	High-risk	24 hours Restart after 6-8 hours
		Intermediate-risk	6 hours Restart after 6-8 hours
		Low-risk	6 hours Restart after 2 hours
		Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.

	Radiology	Invasive Procedures	6 hours
	Radiology	Paracentesis/Thoracentesis	6 hours
	Surgery	High-risk	6 hours Restart after 48-72 hours
	Surgery	Low-risk	4 hours Restart after 24 hours
heparin therapeutic	Anesthesia	High-risk	6 hours Restart after 24 hours
		Intermediate-risk	6 hours Restart after 24 hours
		Low-risk	6 hours Restart after 2 hours
		Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.

	Radiology	Invasive Procedures	6 hours
	Radiology	Paracentesis/Thoracentesis	6 hours
	Surgery	High-risk	6 hours Restart after 48-72 hours
	Surgery	Low-risk	4 hours Restart after 24 hours

Last updated: Apr. 17, 2024

Black Box Warnings Spinal/Epidural Hematomas
Look-Alike/Sound-Alike heparin confused with Hespan

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.