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Reply To: Case Demonstration

Home › Forums › TMCD 532 Travel Medicine II › Case Demonstration › Reply To: Case Demonstration

25/12/2021 at 8:43 น. #18565
Panita Looareesuwan
Participant

Answer 3:
I would consider give full-dose anticoagulation because she has high risks of recurrence DVT. The risks are Age>50 and unprovoked isolated distal DVT. The flight to Korea impose risk of VTE during the flight although the duration is 4-5 hours (moderately long).

The choice of full dose anticoagulation eg. Warfarin preceded by LMWH, apixaban, dabigatran, endoxaban and rivaroxaban.

I will also recommended wearing elastic stockings,exercise every 2 hours, stay hydrated, avoid coffee and alcohol, quit smoking and follow up venous ultrasound to minor progression of thrombosis.

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