how long to wait after stopping heparin to start lovenox
At my facility if a patient is on a heparin drip, the 1st dose of lovenox is given while the drip is still running and then the drip is turned off 2 hours later. At least that's how we did it with my last patient who was on a heparin drip.# 1 5.VT/PE? Heparin is started for immediate anticoagulation and if the patient will need to be on long term anticoagulation, lovenox can be used (usually it's one dose) before the heparin is discontinued and coumadin is started, and the until therapetic PT/INR is achieved.
â¢ Before surgery, wait at least 10 to 12 hours after the last dose of LMW heparin is administered before a spinal/epidural catheter is placed. â¢ After surgery, when there is adequate surgical site hemostasis, wait at least six to eight hours after catheter removal before resuming treatment with LMW heparins. LMW heparin â We discontinue LMW heparin 24 hours before the planned surgery or procedure, based on a biologic half-life of most subcutaneous LMW heparins of approximately three to five hours [ 7,58,62 ].