retroperitoneal bleed

  1. 0
    I have been taking care of a pt that had a retroperitoneal bleed secondary to Lovenox injection. This is the first time I have heard of this and was wondering how frequently you see this in your practice???

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  2. 21 Comments...

  3. 0
    i assume this was post-op??
  4. 0
    no post op! pt was transferred from outlying facility with CP; pt started on Lovenox I guess in preparation for intervention that was going to be done here.
  5. 0
    gheez, how much Lovenox was he on? Usually if pt's are on a "maintenance" or preventative dose of lovenox it's only 1mg/kg sq bid. If they have a proven clot, like a DVT the dose is higher. What other meds was this guy on? any past history? I've seen plenty of retroperitoneal bleeds but not from Lovenox.
  6. 0
    I'm betting this retro-bleed would've happened regardless of what type of anticoagulation he/she was being given. The Lovenox surely made it worse, but it's not some side-effect unique to the drug.

    (hey KC, that 1mg/kg bid is a big dose for prophylaxis. We usually give 40mg sq qd for prevention(maybe more if patient weighs alot). The 1mg/kg/bid is more for chest pain/dvt)
    Last edit by Dinith88 on Jan 17, '04
  7. 0
    i agree w/ the previous post...i have seen a ton of RP bleeds, but they were usually post cath etc....i would guess that there was another pathology re: the bleed and that the lovonox just made it more substantial...
  8. 0
    (hey KC, that 1mg/kg bid is a big dose for prophylaxis. We usually give 40mg sq qd for prevention(maybe more if patient weighs alot). The 1mg/kg/bid is more for chest pain/dvt)
    I think I was having a brain fart or something, our dose is 30mg. sorry:imbar
  9. 0
    Quote from athomas91
    i agree w/ the previous post...i have seen a ton of RP bleeds, but they were usually post cath etc....i would guess that there was another pathology re: the bleed and that the lovonox just made it more substantial...
    i would like your input on rp bleeds...we had a pat.post angioplasty,not on lovenox,not post cardiaccath,with AAA, PVD,who developed fatal rp bleed
  10. 0
    re: allsorts' post: "post angioplasty" to me means post angiogram, which increases risk of rp bleed. Was a closure device used??
  11. 0
    Quote from dianah
    re: allsorts' post: "post angioplasty" to me means post angiogram, which increases risk of rp bleed. Was a closure device used??
    yes,perclose was used


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