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heparin

heparin
  • Restricted Medications IV infusion
Brand names: heparin in D5W, heparin in NS, heparin sodium
Form Strength
SOLUTION, INJECTABLE 1,000 units/1 mL; 5,000 units/1 mL; 10,000 units/10 mL; 30,000 units/30 mL
SOLUTION, INTRAVENOUS 1,000 units/500 mL in NS; 2,500 uniits/500 mL in NS; 5,000 units/1,000 mL in NS; 25,000 units/250 mL in D5W
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 CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
heparin
IV Infusion Key: policy, order set		 Y 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
Paracentesis/Thoracentesis 6 hours
Surgery High-risk 6 hours Restart after 48-72 hours
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
Paracentesis/Thoracentesis 6 hours
Surgery High-risk 6 hours Restart after 48-72 hours
Low-risk 4 hours Restart after 24 hours
Last updated: Jan. 17, 2025
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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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