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Does anyone know what the best way to prevent PEs in high risk patients? I got this questiong wrong on a quiz but I'm thinking it could be either compression stockings or an anticoagulant? :confused:

The info on icufaqs.com is great. I like the pictures, too.:specs:

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

With a little searching, you shall find what you're seeking. :)

http://www.webmd.com/lung/tc/pulmonary-embolism-prevention

Daily use of anticoagulant medicines may help prevent recurring pulmonary embolism by stopping new blood clots from forming and stopping existing clots from growing.

The risk of forming another blood clot is highest in the weeks after the first episode of pulmonary embolism. This risk decreases over time. But the risk remains high for months and sometimes years, depending upon what caused the pulmonary embolism. People with recurrent blood clots and/or pulmonary embolism may have to take anticoagulants daily for the rest of their lives.5 Anticoagulant medicines also are often used for people who are not active due to illness or injury, or people who are having surgery on the legs, abdomen, or pelvis.6

Other preventive methods may also be used, such as:

* Getting you moving shortly after surgery.

* Wearing compression stockings to help prevent leg deep vein thrombosis if you are at increased risk for this condition.

Aspirin may reduce the risk of forming blood clots.7 Aspirin, however, is not adequate for treating pulmonary embolism.

You are at higher risk for blood clots when you are traveling because of long periods of inactivity.8 To help prevent blood clots during travel:9

* Wear compression stockings if you are at risk for deep vein thrombosis.

* Get up and walk around every half hour to an hour.

* Pump your feet up and down by pulling your toes up toward your knees then pointing them down.

* Drink extra fluids.

* Wear loose-fitting clothes that are not tight around your waist or your legs.

* Avoid drinks that have alcohol or caffeine in them, because they cause you to lose fluids. Caffeine is found in coffee, tea, and many sodas.

* Take a dose of low-molecular-weight heparin (LMWH) if your doctor recommends it because you are at high risk for blood clots.

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