Guidelines for Complications of Cancer Treatment Vol VIII Part B

o CVVH offers easier management inhemodynamically unstable patients (2D) W 2004 BBicarbonate therapyo Do not use bicarbonate therapy for the purpose ofimproving hemodynamics or reducing vasopressorrequirements when treating hypoperfusion inducedlactic acidemia with pH > 7.15 (1B) S 2004 CDeep vein thrombosis prophylaxiso Use either low-dose UFH or LMWH, unlesscontraindicated (1A) So Use a mechanical prophylactic device, such ascompression stockings or an intermittentcompression device, when heparin iscontraindicated (1A) So Use a combination of pharmacologic andmechanical therapy for patients who are at veryhigh risk for deep vein thrombosis (2C) Wo In patients at very high risk, LMWH should beused rather than UFH (2C) W2004 AStress ulcer prophylaxiso Provide stress ulcer prophylaxis using H2 blocker(1A) or proton pump inhibitor (1B). Benefits ofprevention of upper gastrointestinal bleed must beweighed against the potential for development ofventilator-acquired pneumonia. S2004 A85