|
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 |