Category: Haem/Onc

Deep Vein Thrombosis (DVT)

Our protocol is initiated by ED and GP’s

Do the Wells Score and the D-Dimer – even if the wells score is high risk we still need a D-Dimer as will guide what happens in the event of a negative initial scan.

Ambulatory Vs MAU – is Rivaroxaban contraindicated, or patient won’t mange ambulatory care.

Ambulatory Patients – order U/S on EPR and prescribe 3 weeks of Rivaroxaban (3 x weekly scripts). Ultrasound will tell them to stop if scan negative and refer to DVT clinic or back to GP.

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VTE prophylaxis in Lower Limb Injury

Our pathway has recently changed to reduce time  and inconvenience, for both you and our patients.

  • Consider in ALL over 16’s with lower limb immobilisation.
  • Bloods not required for everyone.
  • Prescribe for 2 weeks (to cover any delay to # clinic)
  • Shapes Bin is collected from ED

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