Lupus anticoagulant: Difference between revisions

m (Rossdonaldson1 moved page Lupus Anticoagulan to Lupus Anticoagulant)
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#(rare)
#(rare)


==Management with Bleeding==
==Management==
#warfarin or ASA
#PPx
##Eliminate risk factors (OCPs, smoking, HTN and HL)
##Low-dose ASA
#Thrombosis (ie Extremity phlebitis or dural sinus vein thrombosis)
##Heparin IV/SQ followed by warfarin +/- ASA
##Goal INR
###Venous 2.0-3.0
###Arterial 3.0
###Recurrent 3.0-4.0
#OB - Miscarriage is common
##PPx for most women
##Pts with pregnancy loss
###Prophylactic heparin and low-dose ASA
##Pts with h/o thrombosis
###Therapeutic heparin


==See Also==
==See Also==

Revision as of 22:41, 7 January 2014

Background

  1. (rare)

Management

  1. PPx
    1. Eliminate risk factors (OCPs, smoking, HTN and HL)
    2. Low-dose ASA
  2. Thrombosis (ie Extremity phlebitis or dural sinus vein thrombosis)
    1. Heparin IV/SQ followed by warfarin +/- ASA
    2. Goal INR
      1. Venous 2.0-3.0
      2. Arterial 3.0
      3. Recurrent 3.0-4.0
  3. OB - Miscarriage is common
    1. PPx for most women
    2. Pts with pregnancy loss
      1. Prophylactic heparin and low-dose ASA
    3. Pts with h/o thrombosis
      1. Therapeutic heparin

See Also

Source

  • Tintinalli
  • UpToDate