You have a patient who is getting a heparin drip for their newly diagnosed PE. What lab must be drawn before starting the heparin drip?

 

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Correct

- Coags

- Complete Blood count

- Complete Metabolic Panel

- Liver enzymes

Rationale

Heparin will affect the coagulation of the patient, to make sure that we are hitting a steady target, an initial set of coags must be drawn, and preferably resulted before starting a heparin drip unless the patient is in respiratory distress. If they are in distress, start the heparin and give them oxygen. You do want the other labs drawn too if possible but the most important is coags.

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