Pulmonary embolism.

Patient is likely to suffer pulmonary embolism.

 

What should the doctor do?

Perform CT pulmonary angiography, Echocardiography and lower limb venous sonography.
Start iv UFH adjusted for body weight
Start LMWH sc adjusted for body weight

Map: VTE_scenario_2 (467)
Node: 11024
Score:

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  • Patient needs further assistance.
  • Stage 1
  • I stay on warfarin with regular INR monitoring.
  • Since my INR is usually in the recommended range, I should just carry on with my warfarin use as usual.
  • Discuss with my dentist at my appointment for the best way to manage my warfarin scheme.
  • Review baby with poor feeding
  • Skip a couple of doses. After all, I have never had a thrombotic episode and this will make it easier for my dentist to clean my teeth.
  • Pulmonary embolism.

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