VTE 3 Flashcards
tinzaparin dose?
175 anti-Xa IU/kg SC daily
Which of the following are preferred in renal insufficiency?
A. Argatroban 2 mcg/kg/min IV
B. Lepirudin 0.3 mg/kg IV
A
What is the correct dose for initial VTE treatment?
A. warfarin 10 mg in a pt with HF
B. Fondaparinux 7.5 mg SC in a pt that weighs 46 kg
C. Apixaban 10 mg po BID for the 1st 21 days
D. dabigatran 150 mg po BID
D
What is the correct MD for UFH? A. 1000 units/ h B. 3000 units/ h C. 18 units/kg/min D. 80 unit/kg/h
A
What is the correct dose for a pt with CrCl = 28?
A. Fondaparinux 5 mg SC in a pt with renal insufficiency
B. Enoxaparin 1.5 mg/kg SC daily
C. Enoxaparin 1 mg/kg SC daily
D. Rivaroxiban 15 mg po BID with food
C
When does maintenance therapy begin for pts being treated for a VTE?
one week after initial treatment began
What is the purpose of maintenance therapy?
to prevent another clot from forming
What should not be used while platelets are below 150 x10^9?
warfarin
How long does maintenance therapy last for a pt with a first time VTE and no coagulopathies?
3 months
How long does maintenance therapy last for pts with an unprovoked VTE and no coagulopathies?
3 months then eval risks vs. benefits for pts to receive longer term therapy
how long does maintenance therapy last in pts that have had a 2nd unprovoked VTE?
long-term therapy
how long are pts treated for VTE if they have a coagulopathy?
Lifelong
True or false. warfarin dosing adjustments are made on a monthly basis
false, weekly basis
warfarin adjustments should be made in increments of ______% of the total weekly dose
5-20%
how soon do you follow up with a pt on warfarin, after a dosage change?
1-2 weeks