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PULMONARY EMBOLISM-ANTICOAGULANT CONTRAINDICATIONS

Respiratory

PULMONARY EMBOLISM-ANTICOAGULANT CONTRAINDICATIONS

1. Uncorrected major bleeding disorder (thrombocytopenia, hemophilias, liver failure, renal failure)

2. Uncontrolled severe hypertension (systolic> 200 mmHg, diastolic> 140 mmHg)

3. Potential bleeding lesions (active peptic ulcer, esophageal varices, ruptured aneurysm, recent trauma or surgery to head/orbit/spine, recent stroke, intracranial or intraspinal bleed)

4. Repeated falls or unstable gait

5. LMWH is contraindicated in renal clearance< 30 cc/min

6. NSAIDs-increases risk of GI bleeding; if able, stop NSAIDs


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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