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(Low molecular weight
heparin ; LMWH )
.1916
mucosa Heparin
Heparin
1 /
, , (Hematoma)
aspirin heparin inhibit platelet aggregation coagulation UA /
NSTEMI AMI Sudden Death aspirin
anticoagulation unfractionated heparin (UFH) Low molecular weight heparin (LMWH)
Heparin-induced thrombocytopenia
DVT prophylaxis
- Hemodialysis
Chronic hemodialysis
- :
- : prefilled (PFS)
- : 40 mg/0.4 ml (4,000 axti Xa IU), 60 mg/0.6 ml (6,000 axti Xa IU), 80 mg/0.8
ml (8,000 axti Xa IU)
-
- /
(Hypersensitivity )
- (> 80 )
- ()
- (platelets) < 140,000 cells/cu.mm.)
(Thrombocytopenia)
2.5 mg 5-9 (
VTE
6-14
) 6-9
7
5-9
- 5 mg < 50 kg
- 7.5 mg 50-100 kg
- 10 mg >100 kg
2.5 mg .
8
STEMI IV
-
-
- (plasmapheresis)
Inj Enoxaparin : Clexane
- Enoxaparin, heparin, heparin
-
- heparin thrombocytipenias
- lab CBC, platelet count*( 50% 100,000 /mm3)
- Amikacin, Amidarone, Amphoteracin B, Atracunum,
Ciprofloxacin, Dobutamine? ( )
- Warfarin, Aspirin,
NSAIDs, Clodiprogel, Dextran, Steroids bleeding
- sign of bleeding
- MAR
- catheter 10-12
- I.M.
-
-
8
- bleeding
- Double check HN/AN
-
-
-
(Prefilled syringe)
(Prefilled
Syringe
with
Safety Device)
0.5 .
1.
2.
HIV , Hepatitis B
(Safety lock)
( Needle )
(Safety device)
( Plunger )
2.
- (Subcutaneous )
5
-
3.
- :
- :
4.
-
-
( )
-
-
- (
) (
)
5.
-
-
- Plunger
: Plunger
-
****************************************************************************
10