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<noinclude>{{Top|classauthor1="wikitable"[[User:Mikael Häggström|Mikael Häggström]]|author2=}}</noinclude>===Coagulation: Low Moderate risk of bleeding===This procedure counts as conferring a relatively low moderate risk of clinically significant bleeding{{#if:{{{when|}}}| {{{when}}}, and the following bleeding precautions refer to such cases|}}.<ref>The coagulation section follows local practice at: {{NU Hospital Group}}</ref>
====Required lab test====
====Lab interpretation====
*INR should be corrected if over 21.05
*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 ≤ 21.05
*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 2 days (48 hours ) before:*Glomerular filtration rate less than 30 ml/min: Stop 48 3 days (72 hours ) before
*Clopidogrel (Plavix), prasugrel (Efient), ticagrelor (Brilinta, Brilique, and Possia): Stop 5 days before
*Dipyridamole (Persantine): Stop 2 days (48 hours ) before
*NSAIDs (including aspirin): No need to stop
|}<noinclude>
==Example procedures==
*Nephrostomy tube change*Catheter insertion into plaura or peritoneum*Superficial biopsies Biopsy / drainage in the abdomen including liver biopsy and gallbladder drainage (neck, extremities and walls of thorax and abdomennot ascites drainage)*Suprapubic catheter insertionBiopsy / drainage in the thorax including lung biopsy (not pleural drainage)
==References==
{{reflist}}
</noinclude>
