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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Free Nursing Pharmacology Review Course – Heparin Type Medications – Section 2.7

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

4.9773 Ratings

🗓️ 14 February 2026

⏱️ 12 minutes

🧾️ Download transcript

Summary

Heparin medications are commonly used in hospitals, and nurses play a critical role in ensuring they’re given safely. In this episode, we break down unfractionated heparin and low molecular weight heparins in a practical, easy-to-understand way. We’ll also review dosing considerations, signs of bleeding, and the importance of recognizing heparin-induced thrombocytopenia early. Plus, we’ll cover reversal with protamine and essential patient safety tips. Whether you’re preparing for exams or managing anticoagulation at the bedside, this episode will help you confidently navigate heparin therapy in clinical practice.

Your support helps me provide more free resources like this! Consider supporting and getting more amazing pharmacology content! Head on over to meded101.com/nurse

Transcript

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0:00.0

I've spent over a decade teaching pharmacology and I hope you enjoy this review and find it helpful in your studies.

0:07.6

You can get full ad-free access to the Med-Ead-101 Nursing Pharmacology Review course at Med-Ead101.com slash nurse.

0:17.0

In addition, you'll get nearly 20 hours of ad-free on-demand video lessons, downloadable

0:23.7

slides, which you can study from, over 40 cheat sheets and study guides, and practice

0:28.8

questions to assess what you know. Whether you're preparing for exams or building real-world

0:34.3

confidence, this course is designed to teach you things that matter on the test

0:39.5

and in practice. Help support me in my mission to provide free, high-quality pharmacology education.

0:48.1

You can do that by going to MedEd 101.com slash nurse and checking out the MedEd 101 Nursing Pharmacology Review Course.

0:57.5

All right, now I want to cover heparin-type products. So heparin and anoxaparin, these are the two

1:06.0

main medications that I'm going to teach you about. Inoxapin, I would say in my experience, I see this used much more frequently than

1:16.1

heparin, but heparin you will see used periodically as well.

1:20.6

These are considered blood-thinning, anti-coagulant type medications.

1:26.5

The big difference between like DOACs and warfarin and

1:30.6

heparin is anoxyparin and heparin is.

1:32.4

Anoxyparin and heparin are injectable type medications.

1:37.2

So an oxyparin brand name Lovenox, mechanistically, it works in that clotting cascade primarily inhibits factor 10A, but also has some

1:51.2

blockade of thromb, and that would be factor 2A.

1:56.6

So by blocking those factors, those clotting factors, we're going to thin the blood out.

2:03.6

The big downside, you know, on a chronic basis, if you will, this medication would have to be given as an injection on a chronic basis.

2:12.8

So that's why you really don't see it out in ambulatory care and out in practice.

2:19.0

It can be used for DVT, DVT prophylaxis, both as well as treatment,

2:25.9

higher dosages for treatment, which is pretty much true with just about any anticoagulant

...

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