Clots

Question 1

What to give if suspect PE

Answer 1

DOAC - (apixaban or rivaroxaban) used to be LMWH but guidance moving away from this

If the patient has active ca -> DOAC

If

Question 2

What to give if suspect PE but:
1) Renal impairment
2) Ant Phospholipid syndrome

Answer 2

if severe renal impairment then LMWH, unfractionated heparin or LMWH then warfarin

Triple +ve APS: LMWH followed by a VKA

Question 3

How long to anticoagulant suspected PE

Answer 3

At least 3 months.

If provoked then 3 months (6 if active ca)

Unprovoked 6 months

Question 4

When might you use an IVC filter?

Answer 4

Patients who have repeat PEs despite anticoagulation.

Question 5

How to manage a ischaemic stroke if presented within 4.5 h

Answer 5

A combination of thrombolysis AND thrombectomy