Anticoagulation flowsheet 2025

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1. The optimal timing to start anticoagulation, however, remains elusive. A 1-3-6-12 rule has been largely adopted in clinical practice, with early DOAC initiation in TIA and later initiation (12 days or more) in severe stroke.
[8]For patients who are on anticoagulant therapy, the therapeutic INR ranges between 2.0 to 3.0. INR levels above 4.9 are considered critical values and increase the risk of bleeding.
For nearly all patients with a proximal DVT or acute PE, anticoagulation is recommended as first-line therapy. The treatment for VTE is typically divided into three phases: the initiation phase, the treatment phase (primary treatment), and the extended phase (secondary prevention) (Figure 1).
Vitamin K-dependent anticoagulants like warfarin with a therapeutic target INR of 2-3, continue to be used most commonly. Anticoagulation reduces the embolic risk in patients with atrial fibrillation. The risk for embolization is the same for patients with paroxysmal, persistent, or chronic atrial fibrillation.
The rule is predicated on the observation that the risk of haemorrhagic transformation is linked to infarct size, which closely correlates with the NIHSS. ing to Dieners law, anticoagulation should be resumed on day 1 for TIA, day 3 for minor strokes, day 6 for moderate strokes and day 12 for severe strokes.
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The purpose of this BOP Anticoagulation Protocol is to outline a recommended approach to therapeutic anticoagulation that minimizes the risk of both thromboembolic and bleeding events.
the treatment and prevention of venous thromboembolism (VTE), as well as prevention of stroke. in patients with atrial fibrillation. Warfarin and heparin products are also utilized for the. management of patients with cardiac valve replacements to prevent thrombosis and in select. patients after myocardial infarction.

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