SOLVED1295

M.E. is a 68-year-old female with a history of atrial fibrillation and hypertension. Current medications include warfarin 2.5mg daily, carvedilol 6.25mg BID, and lisinopril 5mg daily. Weight 80kg, height 64 inches, SCr 1.3mg/dl. She is scheduled for a colonoscopy in 2 weeks and is contacting the anticoagulation service for guidance on her warfarin. After consulting with M.E.’s PCP, which would be the most appropriate recommendation? a. Stop warfarin five days before her colonoscopy and restart warfarin 12-24 hours afterward. b. Stop warfarin five days prior and start enoxaparin 80mg BID 3 days before colonoscopy. Hold all anticoagulation 24 hours before and after the procedure. Restart both warfarin and enoxaparin 24 hours after the procedure. c. Patient does not need to stop her warfarin therapy for the procedure. d. Stop warfarin five days prior and start enoxaparin 120mg daily three days before colonoscopy. Hold all anticoagulation 24 hours before and after the procedure. Restart both warfarin and enoxaparin 24 hours after the procedure.
SCIENCE
HEALTH SCIENCE
NURSING

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