Surgery & perioperative · Explanation & counselling

Declined enoxaparin

Easy

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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M M K Z

2 min reading · 10 min station · reminders at 2 min

Instructions

You are an intern on the orthopaedic ward. Ross Delamere, 64, had a right total hip replacement yesterday and has refused tonight's enoxaparin injection. The nurse asks you to talk with him.

  1. Explore why Mr Delamere declined his injection

  2. Counsel him about enoxaparin

  3. Agree a management plan with Mr Delamere

  • You do not need to examine the patient

Chart

Enoxaparin 40 mg subcut daily. Platelets 230, eGFR over 90. Wound dry. Walked with physio today.

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