TDMPrep

Mixed Practice 49

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Case 1 of 10Pregnancy and Reproductive HealthPregnancy complications (e.g., hyperemesis gravidarum, preeclampsia, postpartum hemorrhage)

A 32-year-old woman, gravida 2 para 1, at 28 weeks gestation presents to the emergency department with 3 days of left calf pain and swelling. She has no chest pain or shortness of breath. She has no history of venous thromboembolism, takes only prenatal vitamins, and has no known allergies. She weighs 80 kg. On examination, the left leg is swollen and tender to the mid-thigh. Compression ultrasound shows non-compressible left popliteal and femoral veins. Hemoglobin 114 g/L (105-140), platelets 245 x 10^9/L (150-400), creatinine 62 µmol/L (45-90).

Heart rate88/min
Respiratory rate16/min
Temperature37.1 °C
O2 saturation98%, room air
Blood pressure118/72 mm Hg

Question 1 of 30

Which of the following are the most appropriate anticoagulant options for this patient?

Select 2. (0 / 2 selected)

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