- Always check every patient have DVT prophylaxis arixtra, heparin, lovenox or coumdin. Additionally high thigh TEDs and IPC boots may help. The latter can both be used for people who we can not be anticoagulated, we have to document why we can not anti coagulate.16- For patients can not be anticoagulated and will likely to be immobile IVC filter is commonly done before patient sent to rehab.17- Patients after orthopedic surgery who are in coumdin are give arixtra 2.5 mg sq`daily or lovenox 40 mg sq daily until INR is > 1.8.
If you suspect DVT or PE give a dose of arixtra or lovenox before send the patient to be evaluated for these conditions if not already in these medicines.