Fast Facts for the Radiology Nurse by Grossman Valerie Aarne;Valerie Aarne Grossman Mals Bsn Rn;

Author:Grossman, Valerie Aarne;Valerie Aarne Grossman Mals, Bsn Rn;
Language: eng
Format: epub
Publisher: Springer Publishing Company, Incorporated
Published: 2014-08-15T00:00:00+00:00

Source: Patel et al. (2012).

Plavix (clopidogrel) should be held for 5 days prior to any IR procedure. This sometimes requires consultation with the patient’s cardiologist to ensure patient safety while Plavix is held. Aspirin should be held for 5 days prior to procedures with significant bleeding risks. Routine withholding is not recommended for low and moderate bleeding risk procedures. Low molecular weight heparin or Lovenox therapeutic doses should be held for 24 hours prior to the procedure, while IV heparin drip should be held for 2 hours prior to the procedure, as heparin has a half-life of approximately 1.5 hours.

Correction of coagulopathy may be necessary in patients requiring a procedure when the INR level or platelet counts do not meet the required recommendations.

•Fresh frozen plasma (FFP) contains plasma proteins, including coagulation factors, and can be administered to patients with an elevated INR.

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