The in-patient anticoagulant dosing at Wythenshawe Hospital is managed by ward medical staff with advice, when required, from Haematology medical staff.
There is regular audit of the quality of anticoagulant control and guidelines have been issued.
Out-patient anticoagulant therapy is provided by clinics at both hospitals. All patients requiring anticoagulant therapy are seen regularly at these clinics under the supervision of a Consultant Haematologist. There is continuing audit of the quality of treatment. There is a jointly managed Community and Hospital domiciliary anticoagulant service for house-bound patients.
Telephone 0161 291 2134/4798 for further details.
Relative contraindications to anticoagulation: Mental impairment, alcoholism, hypertension, recent stroke, recent CNS, eye surgery, inflammatory bowel disease, peptic ulcer, oesophageal varices, cirrhosis, haemostatic defect. Coumarin therapy is absolutely contraindicated in first trimester of pregnancy and from 36 weeks to term.