Warfarin Bridging Education for Recurrent PE Patients

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Which medication should be injected at the same time each day and at alternating injection sites on the abdominal wall?

Neither warfarin nor enoxaparin

Both warfarin and enoxaparin

Enoxaparin (correct)

Warfarin

What should the patient do 24 hours before a procedure?

Hold warfarin

Hold both enoxaparin and warfarin

Hold enoxaparin (correct)

Continue taking enoxaparin

When should warfarin therapy resume after a procedure?

24 hours after the procedure (correct)

5 days after the procedure

It depends on the patient's INR level

Immediately after the procedure

When should enoxaparin be restarted after surgery?

Within 24 hours after surgery Signup and view all the answers

How long should both warfarin and enoxaparin therapy continue post-procedure?

5 days Signup and view all the answers

When should the patient begin holding warfarin before a planned procedure?

5 days before Signup and view all the answers

When should enoxaparin be initiated after the first missed dose of warfarin?

24 hours later Signup and view all the answers

How often can enoxaparin be dosed?

Every 12 hours Signup and view all the answers

What should the patient have to ensure proper administration of bridging medications?

A personal bridging chart Signup and view all the answers

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

Use the teach-back method Signup and view all the answers

Which medication is typically prescribed for prophylaxis in patients at high risk for deep vein thrombosis and/or pulmonary embolism?

Warfarin Signup and view all the answers

What is the purpose of warfarin bridging with enoxaparin?

To reduce the risk of excessive bleeding during surgery Signup and view all the answers

When is warfarin temporarily discontinued before a major invasive procedure or high-bleed-risk procedure?

Several days before the procedure Signup and view all the answers

What should be assessed before initiating bridging therapy with enoxaparin?

All of the above Signup and view all the answers

Why is dosing adjustment needed for enoxaparin in patients with renal dysfunction?

To maintain therapeutic levels Signup and view all the answers

Who can provide guidance on dosing adjustment for enoxaparin?

The pharmacist Signup and view all the answers

What should be taught to the patient or family caregiver regarding enoxaparin administration?

Proper dosage preparation and administration Signup and view all the answers

Which type of surgery is considered a high-bleed-risk procedure?

Total knee arthroplasty Signup and view all the answers

How long does the transition period for bridging therapy typically span?

5-7 days Signup and view all the answers

What is the main purpose of bridging therapy with enoxaparin?

To reduce the risk of thrombosis Signup and view all the answers

Which of the following healthcare professionals is a medication safety pharmacist?

Daniel Sheridan Signup and view all the answers

Who is an RN in the cardiovascular catheterization lab?

Jessica Brewer Signup and view all the answers

Which healthcare professional is a pharmacy resident at St. Elizabeth Healthcare?

Morgan Elizabeth Weithman Signup and view all the answers

Who is an anticoagulation pharmacist?

Amy Sieber Signup and view all the answers

Who has disclosed no financial relationships related to the article?

Morgan Elizabeth Weithman Signup and view all the answers

Which healthcare professional is located in Edgewood, Kentucky?

Morgan Elizabeth Weithman Signup and view all the answers

Which healthcare professional is located in Marion, Ohio?

Amy Sieber Signup and view all the answers

Who is an RN in the cardiovascular catheterization lab?

Jessica Brewer Signup and view all the answers

Who is a pharmacy resident?

Morgan Elizabeth Weithman Signup and view all the answers

Who is a medication safety pharmacist?

Daniel Sheridan Signup and view all the answers

Which medication is typically prescribed for prophylaxis in patients at high risk for deep vein thrombosis and/or pulmonary embolism?

Enoxaparin Signup and view all the answers

What should the patient have to ensure proper administration of bridging medications?

A personal bridging chart Signup and view all the answers

What is the purpose of warfarin bridging with enoxaparin?

To manage INR levels Signup and view all the answers

When should the patient begin holding warfarin before a planned procedure?

5 days before Signup and view all the answers

When is warfarin temporarily discontinued before a major invasive procedure or high-bleed-risk procedure?

72 hours before Signup and view all the answers

What should be taught to the patient or family caregiver regarding enoxaparin administration?

All of the above Signup and view all the answers

When should enoxaparin be initiated after the first missed dose of warfarin?

24 hours later Signup and view all the answers

Why is dosing adjustment needed for enoxaparin in patients with renal dysfunction?

To maintain therapeutic levels Signup and view all the answers

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

Use the teach-back method Signup and view all the answers

How often can enoxaparin be dosed?

Twice daily Signup and view all the answers

Which of the following is a reason for temporarily discontinuing warfarin before a major invasive procedure or high-bleed-risk procedure?

To reduce the risk of excessive bleeding Signup and view all the answers

What is the purpose of warfarin bridging with enoxaparin?

To provide continuity of antithrombotic therapy Signup and view all the answers

When should enoxaparin be initiated after the first missed dose of warfarin?

Within 72 hours Signup and view all the answers

What should be assessed before initiating bridging therapy with enoxaparin?

Patient's weight Signup and view all the answers

How long does the transition period for bridging therapy typically span?

5-7 days Signup and view all the answers

Which medication should be injected at the same time each day and at alternating injection sites on the abdominal wall?

Enoxaparin Signup and view all the answers

What should the patient have to ensure proper administration of bridging medications?

Proper dosage preparation and administration Signup and view all the answers

Who can provide guidance on dosing adjustment for enoxaparin?

The patient's pharmacist Signup and view all the answers

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

Ask the patient to repeat the information Signup and view all the answers

Which type of surgery is considered a high-bleed-risk procedure?

Total knee arthroplasty Signup and view all the answers

Warfarin Bridging Education for Recurrent PE Patients

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Questions and Answers

Which medication should be injected at the same time each day and at alternating injection sites on the abdominal wall?

What should the patient do 24 hours before a procedure?

When should warfarin therapy resume after a procedure?

When should enoxaparin be restarted after surgery?

How long should both warfarin and enoxaparin therapy continue post-procedure?

When should the patient begin holding warfarin before a planned procedure?

When should enoxaparin be initiated after the first missed dose of warfarin?

How often can enoxaparin be dosed?

What should the patient have to ensure proper administration of bridging medications?

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

Which medication is typically prescribed for prophylaxis in patients at high risk for deep vein thrombosis and/or pulmonary embolism?

What is the purpose of warfarin bridging with enoxaparin?

When is warfarin temporarily discontinued before a major invasive procedure or high-bleed-risk procedure?

What should be assessed before initiating bridging therapy with enoxaparin?

Why is dosing adjustment needed for enoxaparin in patients with renal dysfunction?

Who can provide guidance on dosing adjustment for enoxaparin?

What should be taught to the patient or family caregiver regarding enoxaparin administration?

Which type of surgery is considered a high-bleed-risk procedure?

How long does the transition period for bridging therapy typically span?

What is the main purpose of bridging therapy with enoxaparin?

Which of the following healthcare professionals is a medication safety pharmacist?

Who is an RN in the cardiovascular catheterization lab?

Which healthcare professional is a pharmacy resident at St. Elizabeth Healthcare?

Who is an anticoagulation pharmacist?

Who has disclosed no financial relationships related to the article?

Which healthcare professional is located in Edgewood, Kentucky?

Which healthcare professional is located in Marion, Ohio?

Who is an RN in the cardiovascular catheterization lab?

Who is a pharmacy resident?

Who is a medication safety pharmacist?

Which medication is typically prescribed for prophylaxis in patients at high risk for deep vein thrombosis and/or pulmonary embolism?

What should the patient have to ensure proper administration of bridging medications?

What is the purpose of warfarin bridging with enoxaparin?

When should the patient begin holding warfarin before a planned procedure?

When is warfarin temporarily discontinued before a major invasive procedure or high-bleed-risk procedure?

What should be taught to the patient or family caregiver regarding enoxaparin administration?

When should enoxaparin be initiated after the first missed dose of warfarin?

Why is dosing adjustment needed for enoxaparin in patients with renal dysfunction?

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

How often can enoxaparin be dosed?

Which of the following is a reason for temporarily discontinuing warfarin before a major invasive procedure or high-bleed-risk procedure?

What is the purpose of warfarin bridging with enoxaparin?

When should enoxaparin be initiated after the first missed dose of warfarin?

What should be assessed before initiating bridging therapy with enoxaparin?

How long does the transition period for bridging therapy typically span?

Which medication should be injected at the same time each day and at alternating injection sites on the abdominal wall?

What should the patient have to ensure proper administration of bridging medications?

Who can provide guidance on dosing adjustment for enoxaparin?

What should the healthcare provider do to ensure thorough understanding of the bridging chart?

Which type of surgery is considered a high-bleed-risk procedure?

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