Venous Thromboembolic Disease Treatment Flashcards
What is the first line management of acute DVT?
Anticoagulants
First line is Apixaban OR Rivaroxaban
If recommended first line treatment for acute DVT is not suitable, what should be given to the patient?
Low molecular weight heparin (LMWH) followed by:
Dabigatran / Edoxaban
OR
A vitamin K antagonist
What is the recommended secondary prevention for DVT?
Long term anticoagulation - a DOAC, LMWH
How long should secondary prevention of a provoke DVT with reversible factors be given for?
At least 3 months
How long should secondary prevention of a provoked DVT with irreversible factors be given for?
3 to 6 months or as lifelong treatment
How long should secondary prevention of an unprovoked DVT be given for?
3 to 6 months or as lifelong treatment
What are the recommended treatment options of a ischaemic stroke?
Thrombolysis - up to 4 and a half hours from symptom onset
A thrombectomy - up to 6 hours from symptom onset
What are the recommended treatment options for a haemorrhagic stroke?
Supportive measures
What is the secondary prevention measure of an embolic stroke?
Aspirin / Warfarin
What is the best secondary prevention measure associated with strokes?
Control of risk factors - diabetes, hypertension etc
What should patients with AF be given depending on their risk score?
Warfarin
What is the recommended management of an acute PE?
Anticoagulation - Apixaban or Rivaroxaban
What should be given if the recommended management of an acute PE is not suitable?
Give LMWH followed by either:
Dabigatran / Edoxaban
OR a vitamin K antagonist
What are the 3 long term anticoagulation drugs for a PE?
Warfarin
A DOAC - Apixaban, Rivaroxaban
LMWH
How long should secondary prevention measures be given to a patient presenting with a PE?
At least 3 months
If needed, 3-6 months or as a lifelong treatment
