I. Clinic Information: Clinic hours, personnel & phone numbers

II. Referrals: Discharging a Patient on Warfarin

• Referral Form (pdf)

III. Venous Thromboembolism

• Diagnostic Algorithms for VTE
  • Patients Presenting with Signs/Symptoms of DVT (pdf)
  • Patients Presenting with Signs/Symptoms of PE (pdf)
• Treatment of VTE
  • Treatment algorithm for VTE (pdf)
  • Guidelines for Management of Cancer-Associated Thrombosis
• Guidelines for Prevention of Venous Thromboembolism (pdf)

IV. Optimal Therapeutic Ranges and Duration of Anticoagulation (pdf)

V. Warfarin Dose Adjustments

• Dosing Nomograms for Initiation of Warfarin
• Dosing Adjustment Nomogram for Maintenance Therapy
• Patient Assessment Nomogram (pdf)
• Frequency of Monitoring

VI. Guidelines for Correction of Warfarin Over-Anticoagulation

VII. Guidelines for Dosing and Monitoring Enoxaparin

VIII. Peri-Procedural Anticoagulation

• Risk Stratification for Determining the Need for Bridge Therapy (pdf)
• Around Invasive Procedures
  • Suggestions for Anticoagulation Management Before and After Invasive Procedures (pdf)
  • Stroke Risk Assessment in Patients with Atrial Fibrillation (CHADS2 Score)
• Around Dental Procedures
  • Suggestions for Anticoagulation Management Before and After Dental Procedures (pdf)
  • Instructions for Compounding Aminocaproic Acid (ACA) Mouth Rinse
  • Instructions for Compounding Base Solution for ACA Mouth Rinse

IX. Neuraxial Anesthesia in the Anticoagulated Patient

• Anticoagulation Guidelines for Neuraxial Procedures (pdf)
• Educational Poster about Neuraxial Anesthesia in the Anticoagulated Patient (pdf)

X. Heparin Protocols for UWMC

• Intravenous Heparin Administration Orders (pdf)
• Low-Range Heparin Administration Orders (pdf)
• Guidelines for Management of Adjusted Dose SQ Heparin

XI. Heparin-Induced Thrombocytopenia

• Clinical Management of Suspected Heparin-Induced Thrombocytopenia (pdf)
• Guidelines for use of Argatroban (pdf)
• Guidelines for use of Bivalirudin (pdf)
• Guidelines for use of Lepirudin (pdf)

XII. Central Venous Catheter Management: Drawing blood, Flushing, Dressing and Declotting

• Tunnelled Catheters (pdf)
• Non-tunnelled Cathters (pdf)

XIII. Alternative Monitoring Options for Antithrombotic Agents at the University of Washington Medical Center

XIV. Patient Education

• Warfarin Teaching Booklet
  • English (pdf)
  • Chinese (pdf)
  • Russian (pdf)
  • Spanish (pdf)
  • Vietnamese (pdf)
• Dosing Calendar (pdf)
• Documentation of Anticoagulation Education
  • Self-Injection Teaching (pdf)
  • Warfarin Teaching (pdf)
• Disease State Brochures
  • Atrial Fibrillation (pdf)
  • Deep Vein Thrombosis (pdf)
  • DVT: Outpatient Treatment Protocol (pdf)
  • DVT: Signs, Symptoms and Prevention Methods (pdf)
  • Pulmonary Embolism (pdf)
• Vitamin K Content of Foods
  • Vitamin K Content of Common Foods (pdf)
  • USDA: Vitamin K Content of Selected Foods (pdf)

• Other
  • Herbal Products: What Warfarin Patients Need to Know (pdf)
  • Memory Aids: Tools and Tips to Help You Take Your Medications
    • English (pdf)
    • Spanish (pdf)
  • Prevention and Treatment of Nosebleeds (pdf)
  • When to Call Your Anticoagulation Clinic (pdf)

XV. Links to Other Anticoagulation Sites

• Anticoagulation Forum
• ClotCare
• Thrombosis Clinic
• UWMC VTE Safety Toolkit

XVI. References (coming soon)