Anticoagulation Anticoagulation | allnurses

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  1. 0 I've just heard the term, "anticoagulation bridge". I'm not sure if I understand the "bridge" part. Can anyone clarify/help with this, please? Thank you in advance!
  2. 6 Comments

  3. Visit  Susan317 profile page
    #1 0
    Possibly treatment with lovenox until coumadin levels become theraputic?
  4. Visit  KBICU profile page
    #2 0
    For some surgeries ie open heart pts need to get off coumadin but stay anticoagulated so they get "bridged" with lovenox or arixtra until surgery
  5. Visit  maloneys profile page
    #3 0
    Yes, anticoag preop makes sense, I had just not heard the 'bridge' term before. Thank you so much for clarifying!! :-D
  6. Visit  juan de la cruz profile page
    #4 3
  7. Visit  IHeartDukeCTICU profile page
    #5 1
    Yup typically, we use a heparin gtt for a bridge before surgey. Ex. Pt's who are about to undergo coronary bypass that have had stents placed in the past, we hold their coumadin or plavix (since those effects can last for days = higher risk for bleeding), and start them on heparin to help prevent further coronary occlusions.

    We typically don't use the LMWH (lovenox, arixtra) b/c heparin is more easily titrated and monitored, effects are shorter than lmwh, & should the need arise we can administer protamine for reversal.
  8. Visit  maloneys profile page
    #6 0
    Thank you for the clarification, everyone!