Skip to main content


Abbott Northwestern Hospital achieves Magnet Recognition Program® status

Heparin (Unfractionated) Protocols

Prophylactic Subcutaneous, Prophylactic Intravenous Infusion,
and Therapeutic Intravenous Infusion

File

Description

Prophylactic Subcutaneous Protocol

UFHprophSQinit.vb-link.vb

UFHprophSQadjust.vb-link.vb



Prophylactic Intravenous Infusion Protocol

UFHprophIVinit.vb

UFHprophIVadjust.vb

Therapeutic Intravenous Infusion Protocol

UFHtherIVinit.vb-link.vb

UFHtherIVadjust.vb-link.vb

These Visual Basic files will allow you to store the Heparin (Unfractionated) Protocols on your Pocket PC.

  • The prophylactic (UFHprophSQ) protocol targets a lower antifactor Xa activity range than does the therapeutic (UFHtherIV) protocol.
  • The prophylactic SQ protocol and therapeutic IV infusion protocol each consist of two files: an "initiate" (UFHXXXXinit.vb) file and an "adjust"(UFHXXXXadjust.vb) file.
    • The UFHprophSQinit.vb and UFHtherIVinit.vb files are used for the initiation of subcutaneous unfractionated heparin prophylaxis and intravenous infusion unfractionated heparin therapy, respectively, in a patient.
    • The UFHprophSQadjust.vb and UFHtherIVadjust.vb files are used thereafter to adjust the unfractionated heparin subcutaneous dose or infusion rate, respectively, based on antifactor Xa activity results in a patient receiving enoxaparin. 

Prophylactic Subcutaneous Protocol

hepPROPHY_SQ_initiate.xls

hepPROPHY_SQ_adjust_1.xls

hepPROPHY_SQ_adjust_2.xls
























Prophylactic Intravenous Infusion Protocol

hepPROPHY_IV_female_initiate.xls

hepPROPHY_IV_male_initiate.xls

hepPROPHY_IV_adjust.xls

Therapeutic Intravenous Infusion Protocol

hepTHERA_IV_female_initiate.xls

hepTHERA_IV_male_initiate.xls

hepTHERA_IV_adjust.xls

These Microsoft Excel files will allow you to store the Heparin (Unfractionated) Protocols on your personal desktop computer.

  • The prophylactic (hepPROPHY, SQ) protocol targets an antifactor Xa activity lower than that of the therapeutic (hepTHERA, IV) protocol.
  • The Heparin (Unfractionated) Prophylactic Subcutaneous Protocol consists of 3 files.
    • The hepPROPHY_SQ_initiate.xls file is used for the initiation of subcutaneous unfractionated heparin prophylaxis in patients, regardless of patient sex.
    • The hepPROPHY_SQ_adjust_#.xls files are used subsequently for all patients to adjust the unfractionated heparin subcutaneous dose based on an antifactor Xa result from a patient receiving unfractionated heparin.
      • The hepPROPHY_SQ_adjust_1.xls file adjusts the second unfractionated heparin subcutaneous dose based on the results of the heparin activity level obtained following the first dose.
      • The hepPROPHY_SQ_adjust_2.xls adjusts all subsequent unfractionated heparin subcutaneous doses.


  • The Heparin (Unfractionated) Therapeutic and Prophylactic Infusion Protocols consist of 3 files each. The prophylactic (hepPROPHY, IV) protocol targets an antifactor Xa activity lower than that of the therapeutic (hepTHERA, IV) protocol.
  • The hepTHERA/PROPHY_IV_female_initiate.xls and hepTHERA/PROPHY_IV_ male_initiate.xls files are used for the initiation of intravenous infusion unfractionated heparin therapy in female and male patients, respectively. The male and female files are identical with the exception that patient gender is "defaulted" into the appropriate spreadsheet. This saves the user a few keystrokes.
  • The  hepTHERA/PROPHY_IV_adjust.xls file is used subsequently for all patients receiving unfractionated heparin, regardless of gender, to adjust the unfractionated heparin intravenous infusion rate based on an antifactor Xa result.

References
Rosborough TK, Shepherd MF. Achieving target antifactor Xa activity with a heparin protocol based on sex, age, height,
and weight. Pharmacotherapy 2004;24(6):713-9


Shepherd MF, Rosborough TK, Schwartz ML. Unfractionated Heparin Infusion for Thromboprophylaxis in Highest Risk
Gastric Bypass Surgery. Obes Surg 2004;14(5):601-5.

Shepherd MF, Rosborough TK, Schwartz ML. Heparin Thromboprophylaxis in Gastric Bypass Surgery. Obes Surg 2003;13(2):249-53.
 

 



 

Source: Medication Protocols-Abbott Northwestern Hospital

First published: 06/24/2004
Last updated: 03/16/2007

Reviewed by: Shelley Shepherd, PharmD, MS;Terry Rosborough, MD

 

back to top Back to Top

This site is presented for information only and is not intended to substitute for professional medical advice.
Allina®, the Allina logo, and Medformation® are registered trademarks of Allina Health System.
Presentation and Design ©2009 Allina Health System. All Rights Reserved.