VTE prophylaxis

Question 1

What information do you need prior to completing the VTE assessment?

Answer 1

• Patient weight (kg)
• U+E results - Serum creatinine / eGFR
• Type of admission - medical or surgical
• Acute illness or not
• Mobility - normal or reduced

Question 2

What are the types of risk factors that need to be considered in the VTE assessment?
- give examples for each

Answer 2

Thrombosis risk

• Dehydration, acute illness, age > 60
• Normal PE/DVT risks
• Specific surgical/admission-related risks

Bleeding risk
- HAS-BLED

Question 3

VTE assessment: decisions

Answer 3

Thrombosis risk > bleeding risk
- VTE prophylaxis - consider weight and eGFR for drug choice and dose

No thrombosis risk, or bleeding risk > thrombosis risk:
- No VTE prophylaxis