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<noinclude>
===Example procedures===
*Nephrostomy tube change
*Catheter insertion into plaura or peritoneum
*Superficial biopsies and drainage (neck, extremities and walls of thorax and abdomen
*Suprapubic catheter insertion
</noinclude>
==Coagulation==
This procedure counts as conferring a relatively low risk of clinically significant bleeding.<ref>The coagulation section follows local practice at: {{NU Hospital Group}}</ref>
===Required lab test===
*Prothrombin time (PT or INR), within 24 hours for inpatients. Within 2 weeks for those with healthy liver. Within 1 week for those with liver disease and no additional acute disease since then.
===Lab interpretation===
*INR should be corrected if over 2.0
*If ''partial thromboplastin time'' (aPTT or APTT) has been taken, it should be corrected if over 1.5 times its normal upper limit.
*If ''platelet count'' has been performed, transfusion is indicated if it is below 50 x 10<sup>9</sup>/L (equals 50,000/µL).
===Anticoagulant medication===
*Coumarin (warfarin): Normally stop 3-5 days before, in order to reach INR ≤ 2.0
*Low-molecular-weight heparin (LMWH): Stop 1 preceding dose
*Dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Savaysa, Lixiana):
:*Glomerular filtration rate over 30 ml/min: Stop 24 hours before
:*Glomerular filtration rate less than 30 ml/min: Stop 48 hours before
*Clopidogrel (Plavix), prasugrel (Efient), ticagrelor (Brilinta, Brilique, and Possia): Stop 5 days before
*Dipyridamole (Persantine): Stop 48 hours before
*NSAIDs (including aspirin): No need to stop
<noinclude>
==References==
{{reflist}}
</noinclude>
===Example procedures===
*Nephrostomy tube change
*Catheter insertion into plaura or peritoneum
*Superficial biopsies and drainage (neck, extremities and walls of thorax and abdomen
*Suprapubic catheter insertion
</noinclude>
==Coagulation==
This procedure counts as conferring a relatively low risk of clinically significant bleeding.<ref>The coagulation section follows local practice at: {{NU Hospital Group}}</ref>
===Required lab test===
*Prothrombin time (PT or INR), within 24 hours for inpatients. Within 2 weeks for those with healthy liver. Within 1 week for those with liver disease and no additional acute disease since then.
===Lab interpretation===
*INR should be corrected if over 2.0
*If ''partial thromboplastin time'' (aPTT or APTT) has been taken, it should be corrected if over 1.5 times its normal upper limit.
*If ''platelet count'' has been performed, transfusion is indicated if it is below 50 x 10<sup>9</sup>/L (equals 50,000/µL).
===Anticoagulant medication===
*Coumarin (warfarin): Normally stop 3-5 days before, in order to reach INR ≤ 2.0
*Low-molecular-weight heparin (LMWH): Stop 1 preceding dose
*Dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Savaysa, Lixiana):
:*Glomerular filtration rate over 30 ml/min: Stop 24 hours before
:*Glomerular filtration rate less than 30 ml/min: Stop 48 hours before
*Clopidogrel (Plavix), prasugrel (Efient), ticagrelor (Brilinta, Brilique, and Possia): Stop 5 days before
*Dipyridamole (Persantine): Stop 48 hours before
*NSAIDs (including aspirin): No need to stop
<noinclude>
==References==
{{reflist}}
</noinclude>
