Question
An 82-year-old female with osteoarthritis and mild COPD falls and has a hip fracture requiring surgery. Which of the following would be appropriate deep venous thrombosis (DVT) prophylaxis?
| A. |
Pneumatic compression stockings
|
| B. |
Aspirin
|
| C. |
Low molecular weight heparin
|
| D. |
Unfractionated heparin
|
Show Answer
|
Correct Answer � C
Explanation
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|
Ans. C
Risk factors for deep venous thrombosis (DVT) in this patient include increasing age, orthopedic surgery, and COPD. These factors place this patient at high risk.
She should be treated with low molecular weight heparin and started on warfarin. Since she is at high risk just stockings won’t suffice
The warfarin should be continued until she is ambulatory.
Low molecular weight heparin is superior to unfractionated heparin for the prevention of DVT.
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