Dr. AR pericoagulation patient handout

OVERALL_INSTRUCTIONS

Attached please find instructions for your anticoagulation in anticipation of colonoscopy scheduled for January 28, 2026.

Chief Complaint

Management of blood thinner around the time of surgery/procedure

Template

PATIENT INFORMATION HANDOUT This handout provides information on management of your blood thinner around the time of your surgery/procedure. Date of Procedure: [Insert Date] Type of Procedure: [Insert Procedure Name, choose from one of the following or insert as appropriate. Bronchoscopy/ Colonoscopy/ Hernia Repair/ Cytoscopy/ TURP] Site: [Choose from one of the following - St. Paul's Hospital/ Mt. St. Joseph hospital/ Lion's gate Hospital/ Richmond Hospital/ Vancouver General Hospital/ UBC Hospital] Endoscopist / Surgeon: [Insert Referring Physician Name] Indication for Anticoagulation: [choose from one of the following (Atrial fibrillation/ Mechanical Heart Valve/ Venous Thromboemoblism/ Arterial Thrombosis/ Insert appropriate reason)] Plan: The following table provides you with instructions on when to stop and when to re-start your blood thinner. [Insert Date of procedure - 5] 5 days before Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure - 4] 4 days before Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure - 3] 3 days before Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure -2] 2 days before Procedure ----- **Stop** [Insert Date of procedure -1 ] 1 day before Procedure ----- **Stop** [Insert Date] Day of Procedure ----- **Stop** [Insert Date of procedure +1 ] 1 day after Procedure ----- Resume [Insert Medication and Dosage] if [Insert Condition] [Insert Date of procedure +2 ] 2 days after Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure +3] 3 days after Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure +4] 4 days after Procedure ----- [Insert Medication and Dosage] [Insert Date of procedure +5] 5 days after Procedure ----- [Insert Medication and Dosage] PLEASE CONTACT THE THROMBOSIS CLINIC IF THE PROCEDURE DATE IS CHANGED Follow-up Plan: [Choose from the following: The patient is discharged from the Thrombosis Clinic/ In person assessment at the Thrombosis Clinic within one week after the procedure. The appointment date was given to the patient today/ Telehealth assessment within one week of the procedure. Follow up date was provided to the patient today/ Please page the thrombosis consult service if you have any questions regarding the post op anticoagulation management while the patient is admitted/ Please call the Thrombosis Inpatient Consult Service on postoperative day 1/ Include any other relevant follow up plan discussed] If you have inquiries regarding the provided instructions or your blood thinner, please reach out to our Clinic at 604-604-7850. Kindly refrain from contacting us regarding your surgery date, procedure type, or preparation instructions, as our office is unable to assist with such inquiries. Thank you for allowing me to be involved in your care. Anna Rahmani MD PhD FRCPC
 Co-Director Thrombosis Clinic
 St. Paul's Hospital
 Clinic phone: 604-604-7850
 Clinic Fax: 604-259-2405 ************************************************************************************* Important Information About Stopping Blood Thinners Before Your Procedure: You have been advised to temporarily stop taking your blood thinner (anticoagulant) before your upcoming procedure or surgery. While this step is important to reduce bleeding risks, it may increase your risk of stroke or transient ischemic attack (TIA or “mini-stroke”). Recognizing the Signs of Stroke or TIA: Be alert for the following warning signs (FAST): * Face – Is it drooping on one side? * Arms – Can you raise both arms, or is one weak? * Speech – Is your speech slurred or jumbled? * Time – If you notice any of these signs, call 9-1-1 immediately. Other possible symptoms include: * Sudden numbness or tingling, especially on one side of the body * Trouble understanding or speaking * Vision problems (blurred or double vision) * Sudden dizziness or loss of balance * Severe headache with no known cause These signs are based on information from the Heart and Stroke Foundation of Canada. https://www.heartandstroke.ca/heart-disease/emergency-signs/heart-attack-and-stroke If you experience any of these symptoms, call 9-1-1 immediately. Do not drive yourself to the hospital. Prompt medical attention is crucial.