A patient with peripheral arterial disease needs thromboprophylaxis for major elective surgery. Which method is contraindicated?
Answer and explanation
Correct answer: C. Graduated compression stockings
- Step 1: Mechanical methods reduce venous stasis but have specific contraindications. Step 2. Anti-embolism stockings are contraindicated with significant peripheral arterial disease because they can compromise arterial perfusion. Answer: Graduated compression stockings. Why not the others: Heparin, early mobilisation and good hydration do not reduce limb perfusion, so arterial disease does not rule them out.
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