Anticoagulation | allnurses


  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 so far...

  3. Visit  Susan317 profile page
    Possibly treatment with lovenox until coumadin levels become theraputic?
  4. Visit  KBICU profile page
    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
    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
    turnforthenurse, chare, and maloneys like this.
  7. Visit  IHeartDukeCTICU profile page
    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.
    maloneys likes this.
  8. Visit  maloneys profile page
    Thank you for the clarification, everyone!

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