Flashcards in VTE, bleeding and other things Deck (21):
what drug can be used for subarachnoid haemorrages
when is UFH used over LMWH
NOACs are only licensed following surgery for what type of surgery
knee and hip replacement
how long after surgery do we continue VTE prophylaxis
5-7 days or until mobile
extend to 28 days following major cancer of abdo or pelvis (and some other surgeries depending on local protocol)
post VTW how long to you continue herparin for when starting warfarin
at least 5 days or until the INR has been 2 or over for over 24 hours
laboratory monitoring for UFH is essential, but what are we measuring?
What anticoagulant is best in pregnancy and why
heparin - because it does not cross the placenta
in pregnancy when is LMWH chosed over UFH (2)_
lower incidence of HIT and osteoporosis of the jaw
why should you be cautious with dosing heparin in pregnancy?
eliminated more rapidly so different dosing requirements
what can be used to reverse heparin?
protamine (but this only partially reverses the effects of LMWH)
what is given for acute management of ischaemic stroke (to dissolve clot)?
within what time frame?
When is aspirin initiated post stroke?
24 hours after thrombolysis (or ASAP if thrombolysis is not given)
If a patient present with AF following a stroke do you treat with antiplalets or anticoagulants
antiplatelets (aspirin) as with any ischemic stroke
ditto if someone is anticoagulated for a heart valve - stop their anticoagulant temporarily and use antiplatlets
...ANTI-PLATELETS FOR EVERYONE
when should you treat hypertension post stroke
not straight away as this can reduce cerebral perfusion
how long is asprin given post stroke - and then what
asprin 300mg 2 weeks
then clopidogrel 75mg
In summary what long term treatments would you expect someone to be on post stroke
What BP do you aim for post stroke
what would you not use to control BP post stroke unless indicated for co-existing condition
no idea why it's just what the BNF says
what might be given long term following cerebral haemorrage
- you should generally avoid statins tho (who knows why?)
lifestyle advice for Raynauds