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18 Nov 2018 PDF
18 Nov 2018 PDF
Primary Therapy For ITP: Steroid (Prednison) gagal splenectomy gagal TPO ??
EITHROMBOPAG?
For acutely ill hospitalized medical patients at increased risk of thrombosis, we recommend
anticoagulant thromboprophylaxis with LMWH, low-dose unfractionated heparin (LDUH)
bid, LDUH tid, or fandaparinux (Grade 1B).
For critically ill patients, we suggest using LMWH or LDUH thromboprophylaxis over no
prophylaxis (Grade 2C).
MANAGEMENT OF DVT
Conclusion
In patients with cancer-associated thrombosis initial treatment should be with LMWH for 6
months, if tolerated (1A)
Warfarin and other oral anticoagulants are acceptable alternatives of LMWH is impractical
and anticoagulation is indicated (1A)
An IVC filter should only be inserted when there is a strong contraindication to
anticoagulation and should be removed is possible as soon as anticoagulation is possible
(2C)
In the presence of active malignancy, anticoagulation should be continued, taking patient
status and wishes and bleeding risk into consideration. There is a rational but little direct
evidence fot preferring to continue to use LMWH (2B)