Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Urgent! Clarification needed

I am deeply in need for clarification regarding heparin and coumadin therapy and the aPTT, PT and INR. I am completely confused on how aPTT, PT or INR are used to determine if a patient should receive the therapy or not. How do the values of this labs acutally affect administering the medication? I have read, analysed but for some reason, I still don't get it. Please someone help me out.

Thanks

Featured Replies

@HEALTHCARESTUDENT:

If the patient is taking Coumadin (sodium warfarin) it is important that you should check the PT or the INR:

PT is 10-12 seconds and the therapeutic level should be 1.5-2 x the control value (10-12 seconds)

INR is 2 to 3 if i am not mistaken

if the patient is taking heparin , it is tha aPTT which you should check:

aPTT is 30-45 minutes (control) and to have a therapeutic level it should be within 1.5-2 x the control .

hope this will help you.

I think the above poster did a good job, I'll add that anticoagulants can be very dangerous if given too little (can have CVA, MI-what you are trying to avoid) or if you give too much the pt is also at risk for severe uncontrollable bleeding. That is why it is so important to look at the clotting times. They tell you if the drug is just enough, too much, not enough or not effective.

Good luck

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.