I will be giving an in-service about DVTs at an acute care facility where I am currently on rotation. Does anyone have any protocols they follow for pts with DVT in the acute, extended care setting?
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Joined: May 25, 2003
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There are 2 good articles on DVT in our journal that would be helpful:
When Can the Patient With Deep Venous Thrombosis Begin to Ambulate? by Aldrich and Hunt in 2004.
Does ambulation immediately following an episode of deep vein thrombosis increase the risk of pulmonary embolism? by Ciccone in 2002.
As an acute therapist, I would be interested in what you find about when to hold mobilization due to an elevated INR after DVT and acute anticoagulation. I cannot find any definitive numbers and it seems to be physician preference. I know some who want to hold if >3 and others who do not care if it is over 5. Holding mobilization if > 5 seems appropriate.