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Kachamard Padungpattanodom replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 11 months ago
Answer 3:
The flight from Bangkok to Korea is around 5-6hrs and she also has experience of DVT. According to CDC, she is considered as high risk to develop recurrrent DVT, so taking DOAC or warfarin as a prophylactic drug might be considered.
Although there are no airline restriction about recent DVT (Asiana airline and Korean air), NHS also…[Read more]
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Kachamard Padungpattanodom replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 11 months ago
Answer 2 :
Start heparin combine with warfarin for 4-5 days until INR = 2-3
(unfractionated heparin 80unit/kg IV bolus then 18unit/kg/hr or LMWH (enoxaparin 1mg/kg) q 12 hr)
2.continue warfarin 3-6months , if there is recurrent of DVT, warfarin should be continue for 1 year. -
Kachamard Padungpattanodom replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 11 months ago
1. Sign&symptom : leg swelling without pitting edema, skin thickness with hyperpigmentation of skin, elevation of D-dimer