Anticoagulation Management
Background:
❱ More than 100,000 ED admissions each year due to 4 common medications - Warfarin, insulin, antiplatelets, oral hypoglycemic.
❱ In the Warfarin 33% of total drug-related ED admissions - 95.1% due to accidental overdose
❱ 2011 Healthcare Effectiveness Data and Information Set “high risk” meds: 1.2% of admissions.
Our board Certified Clinical Pharmacist Practitioners in collaboration with physician
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Evaluate and manage anticoagulation based on clinical practice guidelines.
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Recommend and individualize anticoagulation management based on patient‐specific need.
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Assess diet, nutrition and other comorbidities along with medication therapy and adherence.
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Evaluate evidence that influences developing an individual plan, education and treatment goals for patient and family.
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Formulate patient‐centered daily self-care plan for complex patients with anticoagulation therapy.
Ideal Anticogulant -
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Oral
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Once daily dosing
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Limited monitoring
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Limited or no drug interactions
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Available and effective antidote
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Wide therapeutic index
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Low cost
