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14 Cards in this Set
- Front
- Back
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What is the incidence of epidural and spinal hematomas, respectively?
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1 in 150,000 and 1 in 220,000
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What is the therapeutic dose of lovenox?
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1mg/kg q 12h
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What is the intermediate prophylactic dose of lovenox?
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40mg SC q 12h
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What is the prophylactic dose of lovenox?
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40mg q 24h
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List some indications for LMWH therapy in parturients
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-prior VTE
-inherited thrombophilic disorders -acquired thrombophilias (antiphospholipid syndrome) -multiple pregnancy adverse outcomes -immobilization -obesity |
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What should a pregnant patient on LMWH do if she believes she is in labor?
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She should withhold her injection
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For a patient on full anticoagulation with LMWH, how long should LMWH be held prior to induction of labor or elective C/S?
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24 hours
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For a patient on prophy dose of LMWH, how long should LMWH be held prior to induction of labor or elective C/S?
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12-24 hours (12 according to AJOG)
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According to ASRA guidelines, when can regional anesthesia be used following last dose?
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10-12 hours after prophy dose; 24 hours after therapeutic dose
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According to ASRA, when should prophy postop/postpartum TWICE daily dosing be resumed?
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No earlier than 24 hours post op regardless of the anesthetic technique.
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According to ASRA, how long after catheter removal can LMWH be administered to a patient on prophy TWICE daily dosing?
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At least 2 hours after catheter removal.
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According to ASRA, when should ONCE daily LMWH be resumed and when should the second dose be administered?
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Once daily LMWH should be resumed 6-8 hours post partum with second dose no sooner than 24 hours after first dose.
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For a patient taking ONCE daily prophy LMWH, how long after dose should catheter be removed and when can subsequent dose be given?
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Catheter should not be removed for 10-12 hours following last dose; subsequent dosing should occur at least 2 hours after catheter removal.
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What are the ASRA recommendations regarding the initiation of postoperative/postpartum LMWH at a therapeutic dose?
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They have not published guidelines
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