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Heparin
| Question | Answer |
|---|---|
| Type | Unfractionated Heparin anticoagulant |
| Presentation | Ampoule – 1 ml with 5000u Heparin |
| Actions | 1. Inhibits blood clotting 2. Combines with antithrombin IIIa naturally occurring anti-clotting factor in plasma, and inhibits conversion of prothrombintothrombin 3.interferes with the actions of other clotting factors and with fibrin stabilising factor |
| Use | Patients with an acute ST elevation myocardial infarction who meet the requirements for early percutaneous coronary intervention (PCI) |
| Adv effects | 1. Bleeding 2. Anaphylactoid reactions (rare) 3. Thrombocytopenia |
| Contraindications | Use PCI checklist |
| Precautions | Use with care in patients with extensive history of allergies |
| Dose | Adults: 5000u IV, over 30 – 60 seconds |
| Spec note | This treatment should not delay transport time to hospital |