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8 Cards in this Set
- Front
- Back
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Define low risk VTE |
Surgery <30 minutes Pts <40 yo No additional risk fx |
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PPx for LOW RISK VTE |
Early mobilization |
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Define HIGHEST risk VTE |
Major surgery >60 yo PLUS - hx VTE - cancer Or - hypercoag. State |
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PPX FOR HIGHEST RISK GROUP |
SCD + heparin or lovenox Or hep 5000 q8 or lovenox 40qD Consider for 4 weeks post op |
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Tx for moderate or High risk VTE? |
SCD or lovenox 40qD or Hep 5000q8 (High) or q12 (mod) |
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When should ppx medical therapy be started post op? |
No sooner than 6 hours and no later than 12 hours |
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How long after last dose can spinal anesthesia be given? QD LMWH? BID LMWH or unfx hep? When can restart after remove epidural? |
BID - 18 hours QD - 8-12 hours 2 hours after removal |
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T OR F - OCPs should be dc prior to tubal? Prior to hysterectomy? |
Higher dose of E in cOCP is the higher risk of VTE. takes 4-6 weeks for coag fx to revert to normal. So weigh R vs. B Of stopping that long. Major surgery prob should stop. Lap tubal should be okay to continue use. |
