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Discussion

Do you pull sheeth from PT while Integrin is running?

My answer would be no b/c policiy dictates that act level has to be at certain point and PTT has to be less than 45 or something. But this RN says that cardiologist told her to run Integrin until MN and pull sheeth before that. I was wondering because I woudln't imagine pulling sheeth out of PT with heparin running. It has to be stopped. Wait for 4 hours then check PTT then pull, femstop for 4 hours then PT can bend.

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    At our facility, once a stent is placed the cardiologist sometimes wants the integrilin to infuse for 12 - 18 hrs after PCI. We can pull the sheath while on Intregrilin. We check a ACT for the Heparin. A few times (in 8 yrs) I have called the doc because the site would still ooze and he would dc the Intregrilin.

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    I get patients who need to come to ICU for an integrelin drip for a few hours. They sometimes have their sheaths already pulled. Easy patients haha.

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    Yes, we do with integrilin. Not heparin, but they shouldn't need a heparin gtt after a stent is placed. We pull if the act is

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