Thromboprophylaxis

Question 1

26 y/o woman with femoral vein thrombosis, 16 weeks pregnant, already has been started on IV Heparin?

Answer 1

LMWH s.c.

Question 2

50 y/o in for elective THR. Hx of peptic ulcer disease for which he takes Lansoprazole. Otherwise fit and well?

Answer 2

LMWH s.c.

aspirin would be CI

Question 3

70 y/o man with AF caused by rheumatic mitral valve disease. Echo shows mild mitral stenosis and dilated left atrium?

Answer 3

Warfarin

Alternative could be dabigatran or another DOAC

Question 4

Woman with APS who is on Aspirin and Warfarin maintained INR at 2.4, has a DVT?

Answer 4

Warfarin maintained INR 3.5 and continue Aspirin

Question 5

30y/o woman who is 26 weeks pregnant has massive PE. Cyanosed and breathless despite receiving 60% oxygen. Urgent echo shows left pulmonary artery thrombus and right heart failure?

Answer 5

Thrombolysis

or embolectomy
Due to the severity life-saving measures are required