T&O - DVT Prophylaxis

Question 1

Outline guidelines for general, vascular and endocrine surgery - elective and emergency

Answer 1

• Admitting doctor: complete VTE risk assessment - attach to drug chart
• If appropriate: prescribe Deltaparin, anti-emboli stockings and give pt ‘’Preventing blood clots leaflet’’

Question 2

Guidelines for general surgery

Answer 2

• All pts receive 5000 units Deltaparin prophylaxis at 6pm, unless contra-indicated
• If epidural is placed, must wait 4 hours before giving Deltaparin
• All pts fitted with below knee AES (unless contraindicated)
• All pts have intermittent pneumatic compression boots in theatre

Question 3

General Surgery- day case guidelines

Answer 3

• In day case: pts don’t need prophylaxis

- Except pts undergoing laparoscopic day case surgery will receptive 2500 units of Deltaparin, either pre or post op

Question 4

Vascular surgery - guidelines

Answer 4

• All pts receive Deltaparin 500 units prophylaxis at 6pm, unless contra-indicated
• If epidural is placed, 4 hours must pass since insertion before giving Deltaparin
• Vascular surgery pts having neck surgery: NO Deltaparin
• Decision to have flower on boots made on individual pt basis
• Vascular patients do NOT have AES

Question 5

Endocrine surgery guidelines

Answer 5

• Surgery: thyroidectomy, parathyroidectomy
• Do NOT receive Deltaparin
• Will receive AES