Thromboporphylaxis

Question 1

General, vascular and endoc

Answer 1

VTE assessment, attach to drug chart
Dalteparin
Anti embolic stockings
Preventing blood clots leaflet

Question 2

Gen surg

Answer 2

Dalteparin 5000U s/c prophylaxis at 6pm or in theatre, unless CI.
Must be 4 hrs after epidural insertion.
All pts get AES stockings unless CI.
Intermitt pneumatic comp boots in theatre.

Question 3

Gen surg day case

Answer 3

Us dont need any

If laparoscopy then 2500 s/c U pre or post op

Question 4

Vasc surg

Answer 4

Dalteparin 5000U s/c 6pm. Same conditions as for gen.
NO dalteparin if neck surg eg CEA, thoracic outlet surg, carotid subclavian bypass.
Maybe intermitt comp boots.
NO comp stockings.

Question 5

Endoc surg

Answer 5

NO dalteparin

Do get stockings