The section, EDAIC Multiple Choice Question and answer, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
Question: A 45-year-old patient underwent open reduction internal fixation with plating for shaft femur fracture under Combined spinal-epidural anaesthesia. 72 hours postop the patient is scheduled for discharge and the surgeon requests you for epidural catheter removal. Identify the correct statements
- Prophylactic low molecular weight heparin (LMWH) should not have been administered for at least twelve hours
- Aspirin 75 mg should be discontinued for at least 24 hours
- Therapeutic LMWH should not have been administered for at least 24 hours
- The catheter can be removed without information about the last dose of anticoagulant/antiplatelet
- Rivaroxaban 10 mg can be started 6 hours after catheter removal
Answers:
- true
- false
- true
- false
- true
Explanation:
As per ASRA guidelines (2018):
- The epidural catheter can be inserted after
- 12 hours of prophylactic LMWH
- 24 hours after therapeutic dose LMWH
- 4-6 hours of discontinuation of iv UF heparin
- In a patient on low dose aspirin (no need to discontinue)
- The next dose of anticoagulant/antiplatelet can be administered after
- 4 hours of LMWH (therapeutic or prophylactic)
- 4 to 6 hours of apixaban or rivoraxaban
- no precaution for low dose aspirin
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Mock-tests for EDAIC multiple choice questions (part-1) are now available for your practice and making you familiar with the exam pattern, and complexity. The practice will come in handy when the final exam FINALLY arrives. The tests have been launched keeping in mind the much needed last-minute practice and revision required for September 2021 exam.
You can take the test and gauge your preparation level. Detailed explanations are also available for desiring candidates. The exam result will be emailed to you with or without explanations as per your result.
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‘EDAIC Multiple Choice Question and answer’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
