Heparin & LMWH
(heparin, -parin)How it works
Boost antithrombin → existing clotting cascade slows immediately. Prevents clot extension; doesn't dissolve what's there.
You'll see
Used for
Side effects
Monitor
- Heparin drips: aPTT (or anti-Xa) per protocol, titrate exactly
- Platelet trend — a falling count on heparin is HIT until proven otherwise
- Enoxaparin: renally dosed — check the creatinine
- Antidote: protamine sulfate
🎓 Patient teaching
Bleeding precautions: soft toothbrush, electric razor, report blood in urine/stool. SubQ injections go in the abdomen, don't rub the site.
Source: Lehne's Pharmacology for Nursing Care, 11th ed.Reference only — verify against your facility's policy.
