Template:Low risk of bleeding
Author:
Mikael Häggström [notes 1]
ContentsCoagulation: Low risk of bleedingThis procedure counts as conferring a relatively low risk of clinically significant bleeding.[1] Required lab testProthrombin time (PT or INR):
Lab interpretation
Anticoagulant medication
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Tailoring
Prothrombin time (PT or INR) can be put as not necessary by including the template as:
Coagulation: Low risk of bleeding
This procedure counts as conferring a relatively low risk of clinically significant bleeding.[2]
Required lab test
None necessary.
Lab interpretation
- INR, if taken, 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 109/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
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
See also
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
References
- ↑ The coagulation section follows local practice at: NU Hospital Group, Sweden
- ↑ The coagulation section follows local practice at: NU Hospital Group, Sweden