Table 1.
Nomogram | Initial Bolus Dose (Maximum) | Initial Infusion Dose (Maximum) | Goal aPTT (Seconds) | Goal Anti-Xa Concentration (U/mL) |
---|---|---|---|---|
DVT/PE | 80 U/kg (10 000 U) | 18 U/kg/h (1600 U/h) | 68-106 | 0.3-0.7 |
UA/NSTEMI | 60 U/kg (4000 U) | 12 U/kg/h (1000 U/h) | 68-96 | 0.3-0.6 |
Afib/Post-Op | 60 U/kg (10 000 U) | 10 U/kg/h (1600 U/h) | 68-82 | 0.3-0.45 |
Stroke/EP/VAD/high-risk bleed | NA | 8 U/kg/h (1600 U/h) | 59-72 | 0.25-0.35 |
Abbreviations: Afib, atrial fibrillation; aPTT, activated partial thromboplastin time; DVT/PE, deep vein thrombosis/pulmonary embolism; EP, electrophysiology; Post-Op, postoperative; UA/NSTEMI, unstable angina/non-ST-segment elevation myocardial infarction; VAD, ventricular assist device.