drduck
Forum Guru
Topics: 82
Posts: 529
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cutting short Q,
69 yr old female, posted for rt. knee replacement surgery,
H/O angina and on sublingual nitroglycerine, and 325 mg of aspirin......daily.
no h/o hypercoagulability.
what best can be done to avoid post operative DVT,
-continue aspirin orally
-unfractioned I/V heparin
-oral warfarin
-graduated compression stockings
-intermittent pnematic compression
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| Ivonne
Forum Guru
Topics: 55
Posts: 1,445
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Warfarin
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| drduck
Forum Guru
Topics: 82
Posts: 529
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i thought warfarin should be stopped well before surgery and replaced with LMWx.
drugs that shud be stopped before surgeries for anesthesia and surgery related complications,
-warfarin
-aspirin
-lithium
-smoking
-oral hypoglycemics.
i dont know one should give warfarin then??
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,227
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heparin
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When men make the rules, God decides the exceptions.
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| neurom
Forum Senior
Topics: 2
Posts: 127
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LMWH and warfarin are currently recommended for prophylaxis of DVT.
Unfractioned heparin, aspirin, compression stockings, and pneumatic compression are much less effective as a sole methods.
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"Nature magically suits a man to his fortunes, by making them the fruit of his character".
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| neurom
Forum Senior
Topics: 2
Posts: 127
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and warfarin is not associated with significant postop bleeding complications..
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"Nature magically suits a man to his fortunes, by making them the fruit of his character".
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