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?

  • 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?

    <p>Within 24 hours after surgery</p> Signup and view all the answers

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

    <p>5 days</p> Signup and view all the answers

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

    <p>5 days before</p> Signup and view all the answers

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

    <p>24 hours later</p> Signup and view all the answers

    How often can enoxaparin be dosed?

    <p>Every 12 hours</p> Signup and view all the answers

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

    <p>A personal bridging chart</p> Signup and view all the answers

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

    <p>Use the teach-back method</p> 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?

    <p>Warfarin</p> Signup and view all the answers

    What is the purpose of warfarin bridging with enoxaparin?

    <p>To reduce the risk of excessive bleeding during surgery</p> Signup and view all the answers

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

    <p>Several days before the procedure</p> Signup and view all the answers

    What should be assessed before initiating bridging therapy with enoxaparin?

    <p>All of the above</p> Signup and view all the answers

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

    <p>To maintain therapeutic levels</p> Signup and view all the answers

    Who can provide guidance on dosing adjustment for enoxaparin?

    <p>The pharmacist</p> Signup and view all the answers

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

    <p>Proper dosage preparation and administration</p> Signup and view all the answers

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

    <p>Total knee arthroplasty</p> Signup and view all the answers

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

    <p>5-7 days</p> Signup and view all the answers

    What is the main purpose of bridging therapy with enoxaparin?

    <p>To reduce the risk of thrombosis</p> Signup and view all the answers

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

    <p>Daniel Sheridan</p> Signup and view all the answers

    Who is an RN in the cardiovascular catheterization lab?

    <p>Jessica Brewer</p> Signup and view all the answers

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

    <p>Morgan Elizabeth Weithman</p> Signup and view all the answers

    Who is an anticoagulation pharmacist?

    <p>Amy Sieber</p> Signup and view all the answers

    Who has disclosed no financial relationships related to the article?

    <p>Morgan Elizabeth Weithman</p> Signup and view all the answers

    Which healthcare professional is located in Edgewood, Kentucky?

    <p>Morgan Elizabeth Weithman</p> Signup and view all the answers

    Which healthcare professional is located in Marion, Ohio?

    <p>Amy Sieber</p> Signup and view all the answers

    Who is an RN in the cardiovascular catheterization lab?

    <p>Jessica Brewer</p> Signup and view all the answers

    Who is a pharmacy resident?

    <p>Morgan Elizabeth Weithman</p> Signup and view all the answers

    Who is a medication safety pharmacist?

    <p>Daniel Sheridan</p> 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?

    <p>Enoxaparin</p> Signup and view all the answers

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

    <p>A personal bridging chart</p> Signup and view all the answers

    What is the purpose of warfarin bridging with enoxaparin?

    <p>To manage INR levels</p> Signup and view all the answers

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

    <p>5 days before</p> Signup and view all the answers

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

    <p>72 hours before</p> Signup and view all the answers

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

    <p>All of the above</p> Signup and view all the answers

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

    <p>24 hours later</p> Signup and view all the answers

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

    <p>To maintain therapeutic levels</p> Signup and view all the answers

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

    <p>Use the teach-back method</p> Signup and view all the answers

    How often can enoxaparin be dosed?

    <p>Twice daily</p> 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?

    <p>To reduce the risk of excessive bleeding</p> Signup and view all the answers

    What is the purpose of warfarin bridging with enoxaparin?

    <p>To provide continuity of antithrombotic therapy</p> Signup and view all the answers

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

    <p>Within 72 hours</p> Signup and view all the answers

    What should be assessed before initiating bridging therapy with enoxaparin?

    <p>Patient's weight</p> Signup and view all the answers

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

    <p>5-7 days</p> 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?

    <p>Enoxaparin</p> Signup and view all the answers

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

    <p>Proper dosage preparation and administration</p> Signup and view all the answers

    Who can provide guidance on dosing adjustment for enoxaparin?

    <p>The patient's pharmacist</p> Signup and view all the answers

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

    <p>Ask the patient to repeat the information</p> Signup and view all the answers

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

    <p>Total knee arthroplasty</p> Signup and view all the answers

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