Just wanted some advice here. I had a 76 yr old patient that came in with active GI bleed, taking Coumadin 7mg at home since 1990 for mechanical aortic valve replacement. He said he had been having dark stools since December, but it comes and goes that is why he didn't seek treatment earlier. He was to recieve an EGD in AM. His HGB was 6.9, and I transfused 2 units of PRBC on him. He was ordered a platlet count which was normal, but no order for PT/INR from Dr. on admission. My question is, was it a good thing to hold the lovenox last night ( I did) although the orders didn't state to hold until after procedure. Also shouldn't a baseline PT/INR and PTT be ordered before Lovenox is given. I know PTT assoc. with Lovenox, and PT/INR for Coumadin. But none were ordered. Would any of you have given the lovenox the night before the procedure given the information.????.