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Heparin vs. Warfarin

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Anti-Coagulants

Heparin vs. Warfarin

Indication: Memory Trick:

KEY WORD NCLEX


Heparin Warfarin
PREVENTING
PREVENTION H Therapeutic Range WAR Therapeutic Range
GROWTH
of NEW clots
of existing clots 46 – 70 PTT 2 – 3 INR
HEPARIN
Memory Trick: WARFARIN
Memory Trick:
“HePTT” the FROG “War-K-IN”
H – Heparin W – Warfarin
P – Protamine Sulfate (Antidote) K – Vitamin K (Antidote)
PTT – 46 – 70 Max range IN – INR 2 -3 range
Specifically with patients recovering from
An MI heart attack or those at RISK for DVT *FAST onset = Frogs are FAST *Slow onset = “Is it even WARkin?”

Key Point:
Don’t let
Deep Vein Thrombosis NCLEX
TRICK YOU
tPA

Heparin:

• Heparin works QUICKLY, or Heparin works Anti-coags DO NOT DISSOLVE CLOTS!


Hella FAST, within 20 minutes Only thrombolytics do that, like TPA or Alteplase

Key Words:

• Heparin starts in a hurry, but is gone in a hurry Both medications given TOGETHER
for several days. This gives Warfarin
• It can only be injected into the patient. IV or SQ some time to catch up.
like Enoxaparin, the lower lighter weight heparin

LABS:
LABS – BY FAR the biggest TOPIC on
Enoxaparin
Test Questions: SINCE IT’S THE MOST DEADLY!!
Warfarin: So just think if Labs:
• Warfarin has a weaker START, typically taking TOO HIGH = pt will bleed out & DIE
5 days to reach FULL effect. So warfarin takes TOO LOW = then CLOTS will GROW
a LONGER TIME to kick in, but it last LONGER
& can be taken longer
LABS

15
• So think of the WAR in Warfarin, like a
WAR that lasts a LONG TIME!

Notes

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