Treatment of VTE Flashcards
1
Q
State VTE treatment dose for Enoxaparin in Complicated patient
A
LMWH e.g. enoxaparin 1mg/kg BD
2
Q
State enoxaparin dose in uncomplicated PATIENT with low risk of VTE occurrence
A
1.5mg/kg OD
minimum 5/7 and until oral anticoagulation established
Renal impairment – see SPC
If LMWH contraindicated due to degree of renal impairment or if high bleeding risk - UFH infusion adjusted to APTTr
3
Q
State oral anticoagulant used in VTE treatment
A
3/12 and review
Warfarin – dose adjusted according to INR Or DOAC (NOACs) e.g. rivaroxaban, apixaban, edoxaban, dabigatran – check dose in BNF Immediate onset of affect therefore no need for LMWH (except edoxaban)
4
Q
State other VTE treatment
A
Thrombolysis
Usually only for acute massive PE
Bleeding risk outweighed by prognosis of condition
Embolectomy
5
Q
Reversal agents for Anticoagulants
A
Protamine Full reversal UFH, some reports of partial LMWH reversal Vitamin K Reversal agent for warfarin Idarucizumab Reversal agent for dabigatran andexanet alfa Apixaban or rivaroxaban (direct factor 10a inhibitors
6
Q
Mechanical prophylaxis of VTE
A
Anti-embolism stockings
Calf pumps “IPCC”
Geko device
IVC filter
