Heparin and Warfarin - Sydney South West Area Health Service

PERIOPERATIVE MANAGEMENT OF ANTICOAGULANT THERAPY (see
guideline)
Attachment 1
Patient name ……………………………..…………. MRN …………………………………...
Planned procedure ………………………………………………… Date ………………………
Hospital for procedure ………………………….…… Usual dose of warfarin …………….mg
Reason for warfarin use………………………………………………………….…………………
Calculated Cl CR or eGFR (see LMH heparin protocol): …………………….………………….
Discussed with AMO / Specialist managing anticoagulation: □
Notes:
THROMBOTIC RISK: □ Low □ Moderate □ High
Discussed with AMO / Specialist performing procedure: □
Notes:
BLEEDING RISK: □ Low □ Moderate □ High
PRE-OPERATIVE:
Last Warfarin to be taken:
Date Day WARFARIN ENOXAPARIN DOSE &
FREQUENCY
-5 OPTIONAL (see protocol)
-4 NO
-3 NO
-2 NO
-1 NO Omit evening dose of Clexane in
most cases
Signature: ………………… Position: ………………………………… Date: .……………………