The Correct Answer is D!
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A patient without any risk factors for increased bleeding is undergoing a procedure with low bleeding risk. He is taking apixaban 5 mg twice daily, and has creatinine clearance of 60 mL/min.
The patient should:
- Discontinue the apixaban 12 hours before the procedure, no need for bridging
- Discontinue the apixaban 72 hours before the procedure and bridge with a low molecular weight heparin until 12 hours before the procedure
- Continue uninterrupted apixaban through the procedure
- Discontinue the apixaban 24 hours before the procedure and do not bridge before the procedure
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