Outpatient VTE prophylaxis

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Bill,

> 1. Patient with multiple long bone/pelvic fractures who will be
> non-weight-bearing for 6 weeks
>
> 2. Patient with long bone/pelvic fracture who will be NWB on one leg
>
> 3. Patient with long bone/pelvic fracture +/- other trauma (liver,
> spleen, ptx, etc.) who will be limping but ambulatory
>
> 4. Patient with paraplegia/quadriplegia
>
>
>
> Questions: 
> a. Do you anticoagulate as an outpatient? 
> b. With what? 
> c. How long?

1: a yes
    b Enoxaparin 0.2 to 0.4
    c as long he/she can weight for at least halve body weight

2: same as 1

3: same as 1, but 0.2 enoxaparin

4: no big experience. Would probably start enoxaparin. c no idea

My two cents

Mathias

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