Heparin Therapy Risk of Bleeding - Medical Algorithm

Are you evaluating a patient receiving heparin therapy?

Yes

Age of the patient

years

Gender of the patient

Male

Female

Heparin dose

units per kg per dose

Has the patient taken aspirin recently?

Yes

Is the patient a heavy alcohol drinker?

Yes

BUN

Does the patient have a serious underlying disease?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for major hemorrhage

Number of risk factors for mild or moderate hemorrhage

The risk of major hemorrhage associated with heparin therapy for this patient is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Laboratory Tests
- Bleeding Risk Indices of van der Meer et al
- Age, Biomarkers, Clinical History (ABC) Bleeding Risk Score for Atrial Fibrillation Patient
Criteria For Diagnosis
- Criteria of Graafsma et al for Anticoagulant-Related Bleeding with a Bleeding Severity Index
Severity, Prognosis, Stage
Complications

Therapy

Drug Interactions
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Dosage Adjustments
- Risk Score of Kuijer et al for Bleeding During Anticoagulant Treatment for Venous Thromboembolism
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Administration
- Risk Score of Kuijer et al for Bleeding During Anticoagulant Treatment for Venous Thromboembolism
Failure Handling And Therapy Escalation
- Risk Score of Kuijer et al for Bleeding During Anticoagulant Treatment for Venous Thromboembolism
- Bleeding Risk Model of Shireman et al for an Elderly Patient Being Treated with Warfarin

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Risk Score of Landefeld and Goldman for Warfarin-Associated Major Bleeding in Outpatients
Complication Detection
- HEMORR2HAGES Score of Gage et al for Predicting Hemorrhage in a Patient with Atrial Fibrillation
- Age, Biomarkers, Clinical History (ABC) Bleeding Risk Score for Atrial Fibrillation Patient

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Risk Factors of Walker and Jick for Bleeding During Heparin Therapy

Purpose: To identify a patient at risk for bleeding associated with heparin therapy using the risk factors of Walker and Jick.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10