Author Question: What is the fastest way to achieve therapeutic levels of heparin in the treatment of acute deep ... (Read 24 times)

roselinechinyere27m · **on:** Jul 16, 2018

What is the fastest way to achieve therapeutic levels of heparin in the treatment of acute deep venous thrombi?

a. Continuous drip system
b. Follow established nomogram
c. Large bolus at 10 g/kg
d. IV injections while tracking blood levels

Question 2

Prophylactic deep venous thrombosis (DVT) therapy would be most important in which of the following patient groups?

a. General surgery patients
b. General ward patients
c. ICU patients
d. Patients with hip replacements

CourtneyCNorton · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
The fastest way to achieve a therapeutic heparin effect is to follow an established nomogram. Several nomograms are currently available, and one is given in Table 28-6. These nomograms have been well accepted by clinicians and have led to aggressive heparin dosing and improve-ment in intermediate outcome. The use of nomograms has been associated with decreasing time to achieve therapeutic activated thromboplastin time (85 to 90 of patients achieve a therapeu-tic level within 24 hr) and a decrease in the variance of these parameters without any changes in bleeding rate.

Answer to Question 2

ANS: D
The frequency of proximal DVT varies from 2 to 4 among general surgical patients undergo-ing minor surgery from 40 to 80 among patients at the highest risk, such as those who have undergone hip or knee surgery.