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Amy Graham
Thrombosis, now what?
I am currently changing on how I treat thrombosis in my PICC line patients.  I have a lady with a superficial thrombosis in basilic vein that has a 4fr picc.  She started to complain of arm pain 4 days ago.  She went for venous imaging and showed the thrombosis.  She was started on lovenox and aquak pad.  This is my question now what?  I have been reassessing her and her symptoms are improving.  No arm swelling and no redness at all.  Should I repeat the vein imaging study and how long do you suggest I let the lovenox work before rechecking.  Obviously if the symptoms worsen and do not improve with lovenox the line will be pulled.  Any suggestions would be helpful.