A 78-year-old woman is admitted with heart failure exacerbation and reduced mobility. She has no active bleeding, platelets are 210 x 10^9/L and

Question

A 78-year-old woman is admitted with heart failure exacerbation and reduced mobility. She has no active bleeding, platelets are 210 x 10^9/L and creatinine clearance is 42 mL/min. She is not taking anticoagulation. Her Padua VTE risk is high. What is the most appropriate management?

Accepted Answer

Start pharmacologic venous thromboembolism prophylaxis with dose adjusted for renal function if needed

Answer

Avoid prophylaxis because she is over 75

Answer

Use aspirin as preferred inpatient prophylaxis

Answer

Order thrombophilia testing before prophylaxis

Answer

Use therapeutic anticoagulation without VTE

Inpatient venous thromboembolism prophylaxis — RCPSC IM MCQ

A 78-year-old woman is admitted with heart failure exacerbation and reduced mobility. She has no active bleeding, platelets are 210 x 10^9/L and creatinine clearance is 42 mL/min. She is not taking anticoagulation. Her Padua VTE risk is high. What is the most appropriate management?