Title: Re: Thrombus
Is there a relationship also between thrombus and HIV+ patients? Our
last 3 patients with a thrombus have been HIV+.
Pat Deisch
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Lynn Hadaway wrote:
I am not aware of any published standards or guidelines
regarding
this issue, although it is a frequent question and we need something
on it. As you know, the oncology patients are at a greater risk. Your
options are
1. catheter-directed thrombolysis
2. low-dose thrombolytic infusion
3. heparin infusion
Some will remove the catheter while others will treat with the
line still in place. What I have seen is a decision made for that
patient at that time but don't think anyone has examined and reported
on which produces the best outcomes or compared outcomes in anyway.
Lynn
We are have had a few DVT with the
PICC recently on our oncology floor. What is the standard out there on
leaving the PICC in and giving lovenox or Heaprin,and continuing with
the chemo(SVC placement) or removing. Thses are patients that are
compromised to begin with and one had a mastectomy so the opposite arm
was not a choice.What is everyone doing in these
situations?
Thank you in advance
Linda Lembo
New Jersey
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