Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
185 Doctors are Online

Sepsis, pneumonia, transverse colon, DVT in legs. On lovenox, hemodialysis. Can blood thinners be given and is it safe to do dialysis?

User rating for this question
Very Good
Answered by

Practicing since : 2001
Answered : 118 Questions
17 year old male admitted to ICU with sepsis, pnuemonia and perforated transverse colon. The colon operated on and removed. Should blood thinners have been started immediately? Patient was overweight. After 3 days a large DVT developed in the left leg. Patient given lovenox and was then put on continuous hemodialysis to remove water. Kidney function was impaired; however, not high enough for standard dialysis. With respect to a pulmonary embolism happening, would it be safe to do the dialysis with the DVT, or should the clot be removed, or monitored more thoroughly? Thank you.
Posted Sun, 29 Apr 2012 in Kidney Conditions
Answered by Dr. Avinash Ignatius 13 hours later

Thanks for the query.

1.     If needed Dialysis should be continued irrespective of whether DVT is present or not. I don’t think presence of DVT will effect in any way the decision of your doctors to use dialysis if it has to be used during the course of treatment.

2.      The need for blood thinners is decided based on the nature of surgery and other reports at that time. As blood thinners are also associated with increased risk of bleeding, it is always used with caution. Hence the decision to use for XXXXXXX vein prophylaxis can be taken only by the operating surgeon.

3.     If needed the clot removal can be decided by a vascular surgeon depending on the size and location of the clot.

Hope I have answered all your queries. Please accept my answer if you do not have any further queries.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask a Nephrologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor