Difference between revisions of "Template:Venous thromboembolism types"

(Clinical Spectrum of Venous thromboembolism)
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*[[Isolated distal deep venous thrombosis]]
 
*[[Isolated distal deep venous thrombosis]]
 
''Only 40% of ambulatory ED patients with [[PE]] have concomitant [[DVT]]<ref>Righini M, Le GG, Aujesky D, et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised non-inferiority trial. Lancet. 2008; 371(9621):1343-1352.</ref><ref>Daniel KR, Jackson RE, Kline JA. Utility of the lower extremity venous ultrasound in the diagnosis and exclusion of pulmonary embolism in outpatients. Ann Emerg Med. 2000; 35(6):547-554.</ref>''
 
''Only 40% of ambulatory ED patients with [[PE]] have concomitant [[DVT]]<ref>Righini M, Le GG, Aujesky D, et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised non-inferiority trial. Lancet. 2008; 371(9621):1343-1352.</ref><ref>Daniel KR, Jackson RE, Kline JA. Utility of the lower extremity venous ultrasound in the diagnosis and exclusion of pulmonary embolism in outpatients. Ann Emerg Med. 2000; 35(6):547-554.</ref>''
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====Chemical Prophylaxis====
 +
*Lovenox 30mg SubQ q12 hrs (if Cr Clearance > 30)
 +
**Check AntiXa level every week EXACTLY 4 hours after 3rd dose of lovenox
 +
***prophylactic goal: 0.2-0.6
 +
***therapeutic goal: 0.6-1.2
 +
*Recheck AntiXa level after each 3rd dose if dose is changed until you are at goal
 +
*Recheck level every week (usually qMonday) for all patients
 +
*If renal dysfunction order heparin 5000 Units SubQ q8 hrs (search “SURG DVT/VTE prophylaxis” order set)

Revision as of 21:48, 4 November 2019

Clinical Spectrum of Venous thromboembolism

Only 40% of ambulatory ED patients with PE have concomitant DVT[1][2]

Chemical Prophylaxis

  • Lovenox 30mg SubQ q12 hrs (if Cr Clearance > 30)
    • Check AntiXa level every week EXACTLY 4 hours after 3rd dose of lovenox
      • prophylactic goal: 0.2-0.6
      • therapeutic goal: 0.6-1.2
  • Recheck AntiXa level after each 3rd dose if dose is changed until you are at goal
  • Recheck level every week (usually qMonday) for all patients
  • If renal dysfunction order heparin 5000 Units SubQ q8 hrs (search “SURG DVT/VTE prophylaxis” order set)
  • Righini M, Le GG, Aujesky D, et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised non-inferiority trial. Lancet. 2008; 371(9621):1343-1352.
  • Daniel KR, Jackson RE, Kline JA. Utility of the lower extremity venous ultrasound in the diagnosis and exclusion of pulmonary embolism in outpatients. Ann Emerg Med. 2000; 35(6):547-554.