Commonest Mode of Heparin Administration in Inpatient Department of Mayo Hospital
Introduction: Heparin is the most commonly used anticoagulant .It can be given intravenously as well as subcutaneously. It is widely used throughout the world. Its use is associated with complications. Bleeding is the commonest one. The present study is done to find out the most common mode of heparin administration in inpatient department of Mayo hospital, Lahore.
Objectives: To study the commonest mode of heparin administration in inpatient department of Mayo hospital.
Study Design: It is a descriptive study.
Setting: The study was conducted in cardiology, cardiac surgery and all the medical units of Mayo hospital, Lahore.
Duration of Study: The study was conducted from November 2008 to January 2009.
Subjects: Two hundred patients, both sexes were included in the study.
Methods: A thorough and methodical clinical history was taken to rule out inherited and acquired bleeding and platelet disorders of thromboytopenia and qualitative platelet disorders. It was supported by relevant investigations. Patients were anticoagulated with heparin (unfractionated or low molecular weight) intravenously or subcutaneously as per advice of physician. Unfractionated heparin was administered either in twenty four hour continuous infusion after a loading dose or subcutaneously six hourly. Low molecular weight heparin was given subcutaneously in single or 2 divided doses. Com-monest mode of heparin administration was noted. Patients were observed for period of seven days.
Results: Out of 200 patients 185 patients were given intravenous heparin and 15 patients were given subcutaneous heparin. 14 patients developed different bleeding complications.
Conclusion: Intravenous heparin administration is commonest route of administration in our set up however it is not the safest mode.
Key Words: Intravenous Heparin, low molecular heparin, subcutaneous heparin. Mode of administration.
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