- 0Jan 23, '07 by LisaRn21My mother had a huge PE .. they are sending her home on both lovenox and coumadin...I don't understand why both.. when my mother asked they said that her daughter (me ) could explain it better but I work with kids and ever hardly ever I can only think of one patient I gave anticoagulants to so I am not sure... anyone have experience with this?
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- 0Jan 23, '07 by CritterLoverusually, the heparin (lovenox) is given until the coumadin is threapeutic (inr level).
while this usually happens in the hospital, by using lovenox instead of iv heparin, it can be done at home since lovenox has predictible dosing in most (non-obese) patients. heparin does not have predictible dosing, and so labs need to be monitored frequently.
however, agree that it should have been explained better to your mother.
- 0Jan 23, '07 by dream'nI have had patients on Heparin and Coumadin. I finally got a Dr. to sit down and explain it all to me. Very interesting, it seems that they do work on different clotting factors and do not thin the blood in the same way, hence one is followed with an INR and one is followed with a PTT. Unfortunately some of what he explained was very complicated and 'over my head,' but I did get the basics.
- 0Jan 23, '07 by TweetyQuote from mcedRat poison (coumadin) takes longer to reach a therapeutic level than lovenox. Once her INR is around 2-3 they will probably d/c the lovenox. In the meantime the lovenox helps to prevent any further clot development.
This is when I have seen both given as well. Coumadin takes a while to become therapeautic. There are sometimes meds that interfere and take it longer to become therapeutic.
While the Coumadin is becoming therapeautic the Lovenox is given to prevent clot formation. When the Coumadin is able to handle this alone, the Lovenox should be discontinued.
- 0Jan 23, '07 by NRSKarenRN Admin