Di2-Lmwh And Cancer
Drug Information Worksheet
Date: 6/18/07 Method Received: phone rounds written email other verbal
Requestor's Name: Torrie Smith, Pharm D Phone #:
Affiliation/Practice Site: Valley Wide Anticoagulation Clinic Pager #
Address: Fax #:
E-mail: SmithT@vwhs.org
REQUESTOR: (mark background and practice site )
Requestor Practice site Specialty or Practice area
MD/Resident/Intern/Fellow Consumer Hospital Valley Wide Anticoagulation clinic
x RPh / PharmD Other Community/Retail
RN Other
INITIAL REQUEST: Should low molecular weight heparin be used in patients with malignant melanoma and aortic valve plasty to prevent stroke and increase survival?
PATIENT DATA
Age _70_ Gender female Height 5ft4 Weight 114Lb/Kg Race/Ethnic _Caucasian_ Allergies ASA, Novocaine, sulfa PCN
Diagnosis Aortic valve plasty
Pertinent Medical History/Problem List: HTN, malignant melanoma, renal lithiasis, GERD, sleep apnea, asthma, anxiety disorder
Organ Function Cardiac Y Hepatic none Renal none
Medication History (Medication, dose, formulation, route of administration, frequency, duration)
Warfarin 1 mg tablet: 3 tablets daily except 2 and one-half tablets on MWF
Lipram, lactulose, and Zelnorm for constipation; Sertraline 100mg po qhs , trazodone 100mg x 3 tablets po qhs; Seroquel 50mg po QID; Baclofen 10mg po BID; oxycodone 5mg po BID; oxycodone ER 80mg po BID; gabapentin 300mg po qhs; Lasix 20mg po daily, promethazine 25mg po prn; Nexium 40mg po daily
Laboratory Values INR: 5.6 on 06/19/07
THE ACTUAL INFORMATION NEED/REQUEST Should low molecular weight heparin be used in patients with malignant melanoma and aortic...
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