Sun28November0333PM 9

Postoperatively, which of the following statements is true?

(Please select 1 option)

In patients with metallic valves, anticoagulation should be stopped for 24 hours because of the risk of bleeding

Thrombocytopenia can result from heparin therapy Correct

Bleeding is nearly always due to a coagulopathy

In patients with coronary stents, clopidogrel should be stopped for seven days

NSAIDs should be combined with aspirin and anticoagulants

Explanation

Post-operative bleeding may be surgical or coagulation related.

Liaise closely with cardiology; drug-eluting stents can re-stenose if clopidogrel is not continued.

Liaise closely with cardiology; metallic valves often need continuous heparin infusions to prevent thrombotic events and valve damage.

The risk of gastrointestinal haemorrhage increases when NSAIDs and anticoagulants are combined.

Heparin induced thrombocytopenia (HIT) is well described in the literature.

Answer Statistics

1

2%

2

96%

3

2%

4

2%

5

1%

Times answered: 267