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Pulmonary Embolism
Instructional Tutorial Video
CanadaQBank.com
URL: • Pulmonary Embolism
@4:33 see current guidelines thrombosiscana...
If thrombolysis is required, IV unfractionated heparin (UFH) is preferred. Otherwise, the choice of anticoagulant should not depend on the severity of PE. Anticoagulation should be continued for a minimum of 3 months, after which the risk/benefits of treatment should be re-assessed.
Options available:
-DOAC monotherapy (apixaban/rivaroxaban).
-DOAC (dabigatran/edoxaban) therapy, with initial bridging UFH or LMWH.
-Warfarin therapy, with initial bridging UFH or LMWH.
-LMWH monotherapy.
Generally, DOACs are preferred over warfarin (lower risk of bleeding), unless there are contraindications.