why coumadin - success_dr

[ArchivalUser]

A 74-year-old woman 3 days ago underwent a left total knee replacement for severe osteoarthritis who has a past medical history significant for type 1 diabetes mellitus and glaucoma. Her hospital course was uneventful. She continues to take daily NPH insulin and has good control of her blood glucose. On review of her medications, which of the following is most acutely indicated at this time?

A. An ACE inhibitor
B. A nonsteroidal anti-inflammatory agent
C. Oral aspirin
D. Oral Coumadin
E. Subcutaneous unfractionated heparin

the ans is D but do i thought we do not start anyone on coumadin first rt?

[ArchivalUser]

The American College of Chest Physicians (ACCP) Consensus Conference on Antithrombotic Therapy classifies TKR as a high-risk procedure for venous thromboembolism and recommends prophylaxis with (1) low-molecular-weight heparin, (2) oral anticoagulants,
(3) adjusted-dose heparin, or (4) intermittent pneumatic compression/elastic stockings plus low-dose unfractionated heparin or low-molecular-weight heparin.

Best answer could have been low-molecular-weight heparin, but that is not in the choices.

[ArchivalUser]

mri diagnostic

[ArchivalUser]

diagnostic of what??

[ArchivalUser]

sorry it was meant 4 diff ques!!!!!