Podcast
Questions and Answers
What is the main consideration for deciding inpatient versus outpatient management in patients with DVT?
What is the main consideration for deciding inpatient versus outpatient management in patients with DVT?
- Presence of massive DVT such as iliofemoral DVT
- Concurrent symptomatic pulmonary embolism (PE) (correct)
- Comorbid conditions or other factors warranting in-hospital care
- High risk of bleeding on anticoagulant therapy
Which anticoagulant therapy is recommended for the treatment of DVT in most situations?
Which anticoagulant therapy is recommended for the treatment of DVT in most situations?
- Eliquis
- LMWH or heparin (correct)
- Coumadin with heparin bridge
- Thrombolytics
What is the current role of thrombolytics in the management of DVT?
What is the current role of thrombolytics in the management of DVT?
- Rarely indicated (correct)
- Decrease risk of developing postphlebitic syndrome
- Preserve venous valves
- Increase incidence of PE
In the evaluation and work-up of suspected DVT, what is the recommended approach for acute isolated distal DVT without severe symptoms or risk factors?
In the evaluation and work-up of suspected DVT, what is the recommended approach for acute isolated distal DVT without severe symptoms or risk factors?
What is the impact of LMWH on clinically significant VTED according to the current literature?
What is the impact of LMWH on clinically significant VTED according to the current literature?
Which statement accurately reflects the risk factors associated with developing VTE?
Which statement accurately reflects the risk factors associated with developing VTE?
Which exam is the preferred initial imaging study for suspected DVT?
Which exam is the preferred initial imaging study for suspected DVT?
What is the recommended pharmacological intervention for patients with suspected DVT?
What is the recommended pharmacological intervention for patients with suspected DVT?
Which laboratory value is particularly useful in the work-up of suspected DVT?
Which laboratory value is particularly useful in the work-up of suspected DVT?
What factors should be considered when discussing anticoagulation plans for a patient with risk factors for DVT?
What factors should be considered when discussing anticoagulation plans for a patient with risk factors for DVT?
Which of the following medications is commonly used for pre-operative prophylaxis against DVT?
Which of the following medications is commonly used for pre-operative prophylaxis against DVT?
What should be done based on the need for NWB postoperatively in addition to risk factors for DVT?
What should be done based on the need for NWB postoperatively in addition to risk factors for DVT?
What is the most appropriate prophylactic strategy for preventing VTE in foot and ankle surgery patients?
What is the most appropriate prophylactic strategy for preventing VTE in foot and ankle surgery patients?
Which anticoagulant has a shorter half-life and can be reversed with protamine sulfate?
Which anticoagulant has a shorter half-life and can be reversed with protamine sulfate?
What is the recommended therapy duration if considering LMWH following a foot or ankle surgery?
What is the recommended therapy duration if considering LMWH following a foot or ankle surgery?
Which of the following anticoagulants requires routine INR monitoring?
Which of the following anticoagulants requires routine INR monitoring?
When is the use of IVC filters considered for VTE prophylaxis in foot and ankle surgery patients?
When is the use of IVC filters considered for VTE prophylaxis in foot and ankle surgery patients?
Which prophylactic strategy is generally reserved for patients who have developed a DVT or PE?
Which prophylactic strategy is generally reserved for patients who have developed a DVT or PE?
What is the recommended dosage for Lovenox (enoxaparin) for subcutaneous injection once daily?
What is the recommended dosage for Lovenox (enoxaparin) for subcutaneous injection once daily?
Which factor enhances the inhibition of thrombin (II) and Xa, IXa, XIa, XIIa by unfractionated heparin (UFH)?
Which factor enhances the inhibition of thrombin (II) and Xa, IXa, XIa, XIIa by unfractionated heparin (UFH)?
