VTE in pregnancy Flashcards

1
Q

risk factors for VTE in pregnancy

A

on top of normal VTE risks

>36 years
multiple pregnancy
pre-eclampsia
parity ≥3
C-section
>24hr labour
PPH >1L
preterm or stillbirth
OHSS in 1st trimester
hyperemesis
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2
Q

symptoms of pregnancy VTE

A

same as normal VTE

DVT - leg swelling, redness, pain and heat, edema, pyrexia

PE - pleuritic chest pain, SoB, reduced lung expansion, haemoptysis, LoC

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3
Q

CTPA should be used to investigate suspected VTE in pregnancy - T or F

A

false, too much radiation

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4
Q

how to investigate VTE in pregnancy?

A

compression doppler, VQ scan, CXR

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5
Q

what medication is given for VTE

A

LMWH

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6
Q

how long should medication be given for VTE pregnancies

A

until 6 weeks after birth

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7
Q

why should anticoagulation be stopped before labour

A

risk of bleeding into epidural space

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