Tinzaparin for Children AboutKidsHealth at The Hospital for Sick Children

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http://youtube.com/watch?v=HYZLi5hFyV4

Are you or your child prescribed Tinzaparin? Watch this video to learn all about Tinzaparin. • This video and the instructions it contains are part of a teaching program for families of patients of The Hospital for Sick Children, to be used only in circumstances where a SickKids clinician has prescribed the patient the drugs enoxaparin or tinzaparin. Please note that the use of these medications in children is considered off-label. • • The video is provided in addition to detailed hands-on training The Hospital for Sick Children provides to families. We urge you to review the video with your doctor to check whether it is suitable for your situation and who prescribes these medications within the physician/patient relationship. We also require that you not follow the instructions in the video without first having specific training and advice from a healthcare professional who understands your child’s unique needs. • For more information, please visit: • #Enoxaparin: Injecting at home • https://www.aboutkidshealth.ca/Articl... • #Tinzaparin: Injecting at home • https://www.aboutkidshealth.ca/Articl... • Follow us on: • Facebook: / aboutkidshealth • Twitter: / aboutkidshealth • Pinterest: / aboutkidshealth • Subscribe to the AboutKidsHealth YouTube channel: http://ow.ly/CzrN50ClHN3 • VIDEO TRANSCRIPT • You are your child is taking a medication named tinzaparin. It is given by a needle just underneath the skin into the fatty layer. This is called a subcutaneous layer. This is an anticoagulant of a family called low molecular weight heparin. It's usually given every 24 hours once a day at the same time. Your child will be on the medicine depending on your thrombosis team or your medical department. Remember that two doses should not be closer than 21 hours apart. • Your doctor or pharmacist can help you get on to your home schedule. 0:34 • What to do about a forgotten dose?: 1:02 • If you have any questions please contact your medical or thrombosis team. It is important to remember that one unit on the insulin syringe is equal to 200 units of tinzaparin. If your child's doze is 4000 units of tinzaparin it means that you'll need to draw up 20 units on the insulin syringe. • Your child 39 needs to have blood work done on a frequent basis to ensure that the right amount is being given to him for her. Blood work has to be done at least 4 hours after your morning meal at a certified lab and this will be determined by your physician or your thrombosis team. For patients receiving the medication anticoagulant, things to watch for are increased bruising or bleeding and the hardening of the skin. There are things we can do to try to minimize or diminish those risks. For example, after giving the injection under the skin, you or your child can with a cotton ball hold that area somewhere between three to five minutes to diminish bleeding or bruising. The other technique we can use is to alternate or rotate the areas where the medication can be given, so that hardening of the skin does not occur. In the case that bruising or excessive bruising or bleeding does not stop, or it happens even when the medication is not being given and if you notice that is happened very frequently, please contact the thrombosis service or your general pediatrician so that proper action can be taken. It is important to tell your doctor and pharmacist if your child takes any other medicines. This includes prescription medicines over-the-counter products or natural health products. Aspirin and ibuprofen are generally not recommended while your child is on this medicine. Still on the list of rare complications to be looked for, one can have nosebleeds can have blood seen when your patient or yourself pee or poop, there can be coffee ground staining once you go to the bathroom, and even big collections of blood that we call hematomas within your body. If any of those happen please give the thrombosis service or the physician closest to to your home a call. Tinzaparin does not require refrigeration and it can be kept at room temperature. After you open the bottle, mark down the date when it is opened. It is now only good for 30 days. The more adventurous may consider activities such as body jumping and street fighting but we also advise against them for obvious reasons: increased risk of bleeding. We have also seen the unfortunate events in which adolescents or patients entertain getting a tattoo or doing body piercing, in which the consequences were having an awful tattoo that got infected or having a lot of bleeding complications and therefore we would ask for you at least to wait until the medication is discontinued.

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