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  #1  
Old 11-13-2014
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Default Stroke question

A 78 year old man came to the ER unconscious. His blood pressure was 180/110. Serum LDL was 230. A CT done after admission showed a focal intra-cerebral bleeding with no midline shift. Which of the following is a harmful intervention to order during the first week of his stay in the hospital?

A. Immediate intubation and PPI
B. Lower blood pressure
C. Lower LDL
D. DVT prophylaxis
E. Avoid thrombolytics
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  #2  
Old 11-14-2014
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I think it's D

Anticoagulants are part of DVT prophylaxis and you dont give them during ICH
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  #3  
Old 11-14-2014
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D is the answer.
Using heparin for DVT increases the risk of bleeding.
Page 358 of KLN - IM (2014 edition)
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