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step2ck_free120/Block 3/Question#98 (reveal difficulty score)
Three days after an operation for uterine ...
Develop an institutional policy with standardized orders for DVT prophylaxis πŸ” / πŸ“Ί / 🌳
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 +0 
submitted by βˆ—benwhite_dotcom(653),
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hliiocArgtm artdsdan preapcahos htta dereuc lytiabirvai aer the mraklhla fo qhug-atiihyl rac.e Nto rneoevey nca crievee aip,nher tbu eoneryev dnsee ot evah a DTV hppyxoirals lnpa os etyh t’ond flla rughhto hte .acsrck




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submitted by shaz464(1),
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tlilS snodeu..fc naC ynnaoe elru tuo lla hroet oinopts a?epsle

len49  A. Conducting a nursing in-service won't help because they do not have the ordering power, that should rest on the person writing prophylaxis prescriptions/orders. C. Not feasible for every patient (not every patient is well enough to be ambulatory. Moreover ambulation only helps so much; patients at high risk for thrombus (for instance like this patient who is hypercoagulable due to malignancy, recent surgery) need bigger guns. D. LMWH is not appropriate for all post-op patients. For instance, inappropriate for people who may be actively bleeding, patient with previous diagnosis of HIT, patients with ESRD as it is renally cleared E. It is not an isolated case, as you know DVT provoked from long hospitalizations and post-op patients is pretty high and taken pretty seriously. +1  



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