VTE
DVT Prophylaxis
Thrombophilias
Random Coumadin Knowledge
When in Rome
100
How long should a patient be treated with coumadin after first incidence of unprovoked DVT?
What is 3-6 months?
100
This injectable DVT prophylactic agent needs to be adjusted when CrCl is < 30.
What is enoxaparin (Lovenox)
100
This thrombophilia in essence causes Protein C resistance.
What is Factor V Leiden?
100
The color of 5mg warfarin tablets
What is peach?
100
This Reese Witherspoon movie was partially filmed locally in 2002.
What is Sweet Home Alabama.
200
The three pillars of Virchow's triad
What are hypercoagulability, venostasis, and endothelial wall injury?
200
The DVT prophylactic dose of lovenox
What is 30mg BID for ortho patients or 40mg daily for medicine patients/general surgery patients?
200
This condition is sometimes not identified until after a patient has had multiple miscarriages.
What is antiphospholipid syndrome?
200
A branded generic version of warfarin
What is Jantoven?
200
a statue of the Capitoline Wolf was gifted to Rome by this eventual dictator.
Who is Benito Mussolini?
300
After new DVT, how long patient should receive overlapping bridge therapy.
What is at least 5 days and until INR is > 2 for 24 hrs?
300
Major surgery, major trauma, malignancy, prolonged immobility, previous DVT/PE, age > 40yrs all have this in common.
What are factors that increase risk of DVT?
300
Several thrombophilias (e.g. protein C, protein S, etc.) must be drawn at this time.
What is prior to administration of Coumadin or after therapy is completed
300
The only tablet strength of Coumadin that does not contain dye.
What is 10mg tablets
300
This first lady , born in Rome, was the first to die while her husband was serving in the White House
Who is Eleanor Axson Wilson?
400
Produced by the ACCP, this is the best evidence based source for anticoagulation therapy recommendations.
What are the CHEST guidelines. (Antithrombotic Therapy and Prevention of Thrombosis, 9th edition; American College of Chest Physicians Evidence-Based Clinical Practice Guidelines)
400
This drug is considered an option for PE prophylaxis in ortho pratients by the AAOS, however the CHEST guidelines recommend against its use alone as thromboprophylaxis for any patient group.
What is Aspirin
400
Initially Coumadin can have a prothrombotic effect due to this reason.
What is the short half life of Protein C (8-14 hrs) compared to the coagulation factors (8 - 72 hrs)
400
This route/formulation of warfarin can be used when a patient is unable to take meds by mouth.
What is IV warfarin?
400
This school claims to have the largest contiguous campus in the world.
What is Berry College?
500
the number of oral agents currently FDA approved to treat VTE
What is 2? xarelto and coumadin
500
Other than active bleeding and bacterial endocarditis, contraindications for arixtra in patients requiring DVT prophylaxis
What are CRCL < 30 and body weight < 50kg
500
The length of time that must occur between lab draws for antiphospholipid antibody titers before APS can be diagnosed.
What is 12 weeks?
500
This can be done if a patient swears they are taking their Coumadin but you suspect them of being noncompliant
What is draw a warfarin level?
500
The clocktower of Rome originally served this purpose.
as a water tower.