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A 74-year-old woman - malak
#1

A 74-year-old woman with diabetes and osteoarthritis is seen in your office for a postoperative medical visit. She has been a long-time patient of yours and five days ago underwent a left total knee replacement. Her hospital course was uneventful and she comes to the office today for a follow-up on her medical regimen. She continues to take her daily NPH insulin with good control of her blood sugars. She also continues to take her oxycodone for pain that was given to her in the hospital. She is involved in a physical therapy rehabilitation program at the local hospital. The medication that is most indicated for this patient at this time is




A. aspirin



B. enalapril


C. ibuprofen



D. subcutaneous unfractionated heparin



E. warfarin

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#2
A. aspirin
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#3
warfarin
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#4
E-warfarin or LMWH is indicated as a prophylaxis in orthopedic surgeries
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#5
yeah I thinl u guys are rite
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#6
Ideally she shd hv been started on warfarin 5 days ago....right after her surgery right??

Is it indicated even now considering she is going physical therapy?
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