Heparin med sheet .doc – Generic Drug Name Heparin Drug Classification Therapeutic class u2013 anticoagulant Pharmacologic class u2013 anticoagulant

Generic Drug Name:
Heparin
Drug Classification
:
Therapeutic class –
anticoagulant
Pharmacologic class –
anticoagulant
Location of metabolism/excretion:
Metabolism
–
Liver
Excretion
–
Urine/Kidneys
Nursing Implications/Assessment:
History
– thromboprophylaxis, DVT, MI, PE, embolisms
associated with atrial fibrillation, venous thrombosis,
hyperlipidemia, pregnancy
Physical
– peripheral pulses/perfusion, blood tests,
kidney function tests, platelet count, prevention of
injury from bleeding (razors/tooth brushes)
Brand/Trade Names
:
(List 1-2 most common)
Lovanox
Innohep
Fragmin
Half/Life:
1 to 2 hours
but it is dose
dependent
Indications for use:
-thromboprophylaxis
-full dose continuous IV
infusion therapy for DVT,
MI, or PE
-full dose subcutaneous
therapy for DVT, MI, or
PE
-full dose intermittent IV
therapy for DVT, MI or
PE
-fixed low dose therapy
for prevention of venous
thrombosis, PE,
embolism associated
with atrial fibrillation and
postoperative DVT
Contraindications:
-hypersensitivity
-patients with active bleeding,
blood dyscrasia, or bleeding
tendencies (hemophilia,