Continuing Pharmacy Education / CE Master List / Laboratory Monitoring of Anticoagulation
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Laboratory Monitoring of Anticoagulation

About this Course

UConn has developed web-based continuing pharmacy education activities to enhance the practice of pharmacists and assist pharmacists in making sound clinical decisions to affect the outcome of anticoagulation therapy for the patients they serve. There are a total of 12 hours of CPE credit available. Successful completion of these 12 hours (13 activities) or equivalent training will prepare the pharmacist for the Anticoagulation Traineeship, which described below in the Additional Information Box.

The activities below are available separately for $17/hr or as a bundle price of $140 for all 13 activities (12 hours). These are the pre-requisites for the anticoagulation traineeship. Any pharmacist who wishes to increase their knowledge of anticoagulation may take any of the programs below.

When you are ready to submit quiz answers, go to the Blue "Take Test/Evaluation" Button.

Target Audience

Pharmacists who are interested in making sound clinical decisions to affect the outcome of anticoagulation therapy for the patients they serve.

This activity is NOT accredited for technicians.

Pharmacist Learning Objectives

At the end of this knowledge-based continuing education activity, the learner will be able to:

  1. Explain the role of common laboratory tests used in monitoring of anticoagulation therapy.
  2. Identify an alternative to INR monitoring for warfarin therapy.
  3. Identify the clinical situations requiring Activated whole blood Clotting Time (ACT) and Anti-factor Xa activity monitoring for unfractionated heparin.
  4. Discuss the technical differences between point of care testing and laboratory testing and the influence on patient care.

Release Date

Released:  06/01/2022
Expires:  05/31/2025

Course Fee

$17

ACPE UAN Codes

ACPE #0009-0000-22-027-H01-P

Accreditation Hours

1.0 hour of CE

Bundle Options

If desired, “bundle” pricing can be obtained by registering for the activities in groups. It consists of thirteen anticoagulation activities in our online selection.

You may register for individual topics at $17/CE Credit Hour, or for the Entire Anticoagulation Pre-requisite Series.

Pharmacist General Registration for 13 Anticoagulation Pre-requisite activities-(12 hours of CE)  $140.00

In order to attend the 2-day Anticoagulation Traineeship, you must complete all of the Pre-requisite Series or the equivalent.

Additional Information

Anticoagulation Traineeship at the University of Connecticut Health Center, Farmington, CT

The University of Connecticut School of Pharmacy and The UConn Health Center Outpatient Anticoagulation Clinic have developed 2-day practice-based ACPE certificate continuing education activity for registered pharmacists and nurses who are interested in the clinical management of patients on anticoagulant therapy and/or who are looking to expand their practice to involve patient management of outpatient anticoagulation therapy. This traineeship will provide you with both the clinical and administrative aspects of a pharmacist-managed outpatient anticoagulation clinic. The activity features ample time to individualize your learning experience. A “Certificate of Completion” will be awarded upon successful completion of the traineeship.

More Information About Traineeship

Accreditation Statement

ACPE logo

The University of Connecticut, School of Pharmacy, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.  Statements of credit for the online activity ACPE #0009-0000-22-027-H01-P will be awarded when the post test and evaluation have been completed and passed with a 70% or better. Your CE credits will be uploaded to your CPE monitor profile within 2 weeks of completion of the program.

Grant Funding

There is no grant funding for this activity.

Requirements for Successful Completion

To receive CE Credit go to Blue Button labeled "take Test/Evaluation" at the top of the page.

Type in your NABP ID, DOB and the session code for the activity.  You were sent the session code in your confirmation email.

Faculty

Michael Smith, Pharm.D., BCPS, CACP,
East Region Clinical Manager
Pharmacy Hartford Healthcare
William W. Backus Hospital
Norwich, CT

Faculty Disclosure

In accordance with the Accreditation Council for Pharmacy Education (ACPE) Criteria for Quality and Interpretive Guidelines, The University of Connecticut School of Pharmacy requires that faculty disclose any relationship that the faculty may have with commercial entities whose products or services may be mentioned in the activity.

Dr. Smith has no relationship with an ineligible company and therefore has nothing to disclose.

Disclaimer

The material presented here does not necessarily reflect the views of The University of Connecticut School of Pharmacy or its co-sponsor affiliates. These materials may discuss uses and dosages for therapeutic products, processes, procedures and inferred diagnoses that have not been approved by the United States Food and Drug Administration. A qualified health care professional should be consulted before using any therapeutic product discussed. All readers and continuing education participants should verify all information and data before treating patients or employing any therapies described in this continuing education activity.

Program Content

Program Handouts

Post Test Evaluation

View Questions for Laboratory Monitoring of Anticoagulation

1.  The Prothrombin time is prolonged in patients:

  1. Receiving warfarin
  2. With significant liver disease
  3. on a typical dose of enoxaparin
  4. both A and B

 

2.  A patient receiving warfarin may also be monitored by checking the activity level of:

  1. Anti-factor Xa
  2. Factor II
  3. D-dimer
  4. fibrinogen

 

3.  Useful tests to screen for a coagulation disorder in a bleeding patient include

  1. aPTT and PT
  2. TT and PT
  3. D-dimer and aPTT
  4. ACT and aPTT

 

4.  The activity of heparin can be monitored with

  1. aPTT
  2. Anti factor-Xa
  3. ACT
  4. all of the above

 

5.  Anti-factor Xa test is

  1. test of clotting time
  2. functional test of enzymatic activity

 

6.  Very high doses of unfractionated heparin are best measured with

  1. TT
  2. ACT
  3. aPTT
  4. PT

 

7.  This test measures the last step in the coagulation cascade, the conversion from fibrinogen to thrombin:

  1. TT
  2. ACT
  3. aPTT
  4. PT

 

8.  If the patient’s PT is 39, the control PT is 13, and the sensitivity of the reagent is 1, what is the INR

  1. more info is needed
  2. 2.0
  3. 3.0
  4.  1.0

 

9.  Antiphospholipid Antibody Syndrome:

  1. Is a clinical condition predisposing patients to hemorrhagic complications
  2. May interfere with PT/INR testing leading to a false prolongation
  3. Predisposes the patient to a pro-thrombotic state and may falsely shorten the PT test
  4. Can easily be corrected for by the lab through analytical methods.

 

10.  Argatroban use is not expected to significantly affect the monitoring of warfarin.

  1. True
  2. False