CLINICAL ENCOUNTERS
ANTICOAGULATION
Question
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About standard heparins:
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Calcium heparin has a delay of action of a few minutes
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Calcium heparin is injected SC
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Heparin sodium has a duration of action of 3 hours
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Heparin sodium has an onset of action of a few minutes
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The goal of treatment is to have a TCA between 50 and 70 seconds
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Explanation:
Detailed explanation-1: -Heparin sodium is indicated for: Prophylaxis and treatment of venous thromboembolism and pulmonary embolism; Atrial fibrillation with embolization; Treatment of acute and chronic consumptive coagulopathies (disseminated intravascular coagulation);
Detailed explanation-2: -The aPTT is the most commonly used test to monitor heparin therapy. The therapeutic goal for a patient being anticoagulated with heparin, is an aPTT approximately 1.5 to 2.5 times the mean normal value.
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