EM M4 SAEM EXAM 2024 QUESTIONS AND ANSWERS

EM M4 SAEM EXAM 2024 QUESTIONS AND ANSWERS treatment of PE - Answer ️️ -Anticoagulation may be started before imaging confirmation in patients with a high pre-test probability of the disease. Either unfractionated heparin or low- molecular weight heparins (e.g. enoxaparin) may be used in most cases. Warfarin (Coumadin) has a transient hypercoagulable effect; therefore, patients starting warfarin are placed on heparin until warfarin reaches a therapeutic level (INR 2-3). DOAC (rivaroxaban, apixaban, dibigatran) ideal for outpatient treatment of DVT/PE because they require no additional monitoring and have a quick onset of action, providing anti- coagulation much sooner than warfarin therapy. contraindications to anticoagulation - Answer ️️ -- Active pathological bleed - Coagulation disorder - Hepatic dysfunction w/ hi PT or INR - Severe thrombocytopenia - Malignant HTN - Hypersensitivity to meds