Blood Clot in the Legs (cont.)
Medical Author:
John P. Cunha, DO, FACOEP
John P. Cunha, DO, FACOEPJohn P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey. Medical Editor:
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical EditorMelissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology. Medical Editor:
Benjamin Wedro, MD, FACEP, FAAEM
Benjamin Wedro, MD, FACEP, FAAEMDr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center. IN THIS ARTICLE
MedicationsWarfarin (Coumadin) is an oral medication taken to thin or anti-coagulate the blood. It may take a few days for its action to take effect. The dose needs to be individualized for each person, and blood clotting must monitored routinely since changes in diet, activity, and the administration of other medications may affect the levels of warfarin. Blood tests (usually INR, or international normalized ratio) are done routinely to monitor the blood thinning effects and help the health care practitioner select the appropriate warfarin dose. Ideally, the INR should be kept in a range between 2.0 and 3.0. Blood tests are done weekly until the INR stabilizes and then are done every two weeks to every month. Enoxaparin (Lovenox) is a low molecular weight heparin injected beneath the skin to thin the blood. The dose is usually 1milligram per kilogram of weight injected twice daily or 1.5 milligrams per kilogram injected once daily. Enoxaparin usually is considered a temporary medication to be used to thin the blood while warfarin begins to take effect; however, it may be used over the long-term in some patients with cancer. Next Page: Must Read Articles Related to Blood Clot in the Legs
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Deep Venous Thrombosis »
Deep venous thrombosis (DVT) most commonly involves the deep veins of the leg or arm, often resulting in potentially life-threatening emboli to the lungs or debilitating venous alular dysfunction and chronic leg swelling.
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