DVT and PE Proph

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Author:
jcu1
ID:
260738
Filename:
DVT and PE Proph
Updated:
2014-02-07 10:54:51
Tags:
Benedict
Folders:
APC 2 Exam 1
Description:
Benedict
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  1. 3 parts of Virchow's triangel
    • Venous stasis
    • hypercoagulable state
    • endothelial injury
  2. Venous stasis examples
    • age
    • obesity
    • prolonged immobility
    • paralysis
  3. hypercoagulable state examples
    • Protein C or S deficiency
    • prior VTE
    • Malignancy
    • Antiphospholipid antibodies
  4. endothelial injury examples
    • surgery
    • trauma

    especially involving spine, pelvis, or knees
  5. Definition of high risk for DVT/PE
    • Non-major surgery, aged > 60 yo with additional risk factors
    • Major surgery, aged > 40 yo with additional risk factors
  6. treatment for high risk DVT/PE
    Low dose unfractionated heparin (LDUF)
  7. Definition of very high risk for DVT/PE
    Major surgery > 40 yo + prior DVT/PE, malignancy, hypercoagulable state, 

    Total hip or knee replacement, hip fracture surgery, spinal cord injury, trauma
  8. treatment for very high risk DVT/PE
    Low molecular weight heparin (LMWH or enoxaparin) + SCD
  9. VTE prophylaxis dosing for LDUH
    heparin 5000 units SC q8h
  10. VTE prophylaxis dosing for LMWH
    enoxaparin 30 mg SC BID

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