CLINICAL ENCOUNTERS
ANTICOAGULATION
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 About standard heparins: 
|  |  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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