Step III DVT and tapering steroids

[doc707070]

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how do you order dvt ppx with an anti-coagulant or SCD (compression devices) on the CCS software. ALso, is it possible to write for a tapering dose of steroids on discharge ro do you just do the same oral/continuous. Thank you again for any help!

 

[178624]

hopefully it's not too late.... but don't worry about dosage tapering. just d/c the methylpred within a week and I think that's good. as for the ppx, just order enoxaparin. you run less of a risk of HIT w/ enox rather than doing straight heparin. and you gotta monitor PTT w/ regular heparin.... but I rather use heparin for a confirmed DVT. for SCDs it's something like compression stockings or something like that. If they already had a dvt or PE make sure you give warfarin and monitor PT PTT INR