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UNIVERSAL C/S THROMBOPROPHYLAXIS DECEMBER2011 RIVERSIDE
Recommendations for thromboprophylaxis following  C-SECTION ,[object Object],[object Object],[object Object]
ACOG / RCOG / ACCP / NICE Recommendations ;   Thromboprophylaxis Following Cesarean Section ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
7 DAY SCD MULTIPLE GESTATION Emergency cs Hysterectomy MULTIPLE GESTATION Anticoagultion LMWH
y y y y lmwh R I S K F A C T O R S Y SCORE OF 3 OR HIGHER CONSIDER @ LEAST 7 DAYS OF LMWH LOVENOX  +SCD 1 Weight < 50 kg = 20 mg Lovenox/ Q 24 Weight 50–90 kg = 40 mg Lovenox/ Q 24 Weight 91–130 kg = 60 mg Lovenox/ Q 24 Weight 131–170 kg = 80 mg Lovenox/ Q 24 Weight > 170 kg = 0.6 mg/kg/day  h eparin prophylactic dose 5000 -8,000 no sooner than 1 hour prior to spinal or epidural  / SCD PRIOR TO  SPINAL lovenox administration 8-12 hours after c/s  and no sooner than 2 hours after removal of epidural catheter POSTPARTUM  TREATMENT   SHOULD BE >/= TO ANTEPARTUM TREATMENT
IF PATIENT GAINS  20% OR MORE FROM 1  ST  TRIMESTER  WEIGHT CHECK LEVELS 4 HRS AFTER 3 RD DOSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VTE Risk factors Defined ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations for thromboprophylaxis following delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARSA GUIDELINES EPIDURAL &  LMWH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIT ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Summary universal c

  • 1. UNIVERSAL C/S THROMBOPROPHYLAXIS DECEMBER2011 RIVERSIDE
  • 2.
  • 3.
  • 4. 7 DAY SCD MULTIPLE GESTATION Emergency cs Hysterectomy MULTIPLE GESTATION Anticoagultion LMWH
  • 5. y y y y lmwh R I S K F A C T O R S Y SCORE OF 3 OR HIGHER CONSIDER @ LEAST 7 DAYS OF LMWH LOVENOX +SCD 1 Weight < 50 kg = 20 mg Lovenox/ Q 24 Weight 50–90 kg = 40 mg Lovenox/ Q 24 Weight 91–130 kg = 60 mg Lovenox/ Q 24 Weight 131–170 kg = 80 mg Lovenox/ Q 24 Weight > 170 kg = 0.6 mg/kg/day h eparin prophylactic dose 5000 -8,000 no sooner than 1 hour prior to spinal or epidural / SCD PRIOR TO SPINAL lovenox administration 8-12 hours after c/s and no sooner than 2 hours after removal of epidural catheter POSTPARTUM TREATMENT SHOULD BE >/= TO ANTEPARTUM TREATMENT
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.