Anticoagulation Parameters

 

Procedure

PLT & INR

Paracentesis

PLT > 20k, INR < 4 *

Central Line

PLT > 20k, INR < 3

Thoracentesis

PLT > 50k, INR < 2 *

Lumbar Puncture

PLT > 50k, INR < 1.6

US PIV

PLT > 10k, no INR

DHT

PLT > 10k, no INR

 

 

Anticoagulant

When to Hold

Heparin gtt

4-8 hours, ensure PTT wnl

LMWH

12-24 hours

Dabigitran

1-2 days

Eliquis

1-2 day

Xarelto

1-2 days

Warfarin

5-7 days