CONTINUED PATIENT COURSE

The patient is informed of her diagnosis and the potential options for inpatient and outpatient therapy. The hospital has an outpatient DVT protocol using enoxaparin and the patient's primary care provider, who is reached by telephone, agrees to follow the patient in a fashion consistent with that protocol if it is initiated. The patient appears to have no absolute contraindications to anticoagulation therapy. Which of the following factors (if present) represent relative contraindications to outpatient therapy?

a) elevated transaminases
b) sedentary lifestyle
c) patient's home is a 90-minute drive from the nearest hospital
d) patient is afraid of needles
e) CBC reveals baseline platelet count of 80,000
f) clinical suspicion of concomitant pulmonary embolism

This question has more than one answer that could be correct.

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