DVT Prophylaxis

First Things First (assess & treat for the following)

  • Assess risk factors for VTE (see “History and Physical”).
  • Assess for contraindications to pharmacologic thromboprophylaxis
    • Active uncontrolled bleeding
    • High risk of spinal hematoma (fracture, spinal surgery)
    • High risk of intracranial hemorrhage (trauma, recent stroke, brain surgery)
    • Severe thrombocytopenia
    • History of heparin-induced thrombocytopenia (no UFH or LMWH)

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Last updated: April 26, 2010