Clinical Manifestations
This triad—consisting of stasis of blood, vessel damage, and increased blood coagulability—describes the pathophysiology of DVT.
What is Virchow’s Triad?
Nurses should instruct patients on anticoagulants to use this type of razor to prevent skin trauma and bleeding.
What is an electric razor?
This is the most serious and potentially fatal complication of DVT that a nurse must monitor for, characterized by sudden shortness of breath and chest pain.
What is a Pulmonary Embolism (PE)?
This medication is the standard antidote for heparin overdose.
What is Protamine Sulfate?
This common lifestyle habit makes platelets "sticky" and is a major modifiable risk factor for impaired clotting.
What is smoking?
This assessment finding, though often unreliable, involves calf pain upon dorsiflexion of the foot.
What is Homans’ Sign?
This non-pharmacological intervention for DVT involves elevating the affected extremity above this level.
What is the level of the heart?
In a patient with hemophilia, any injury to this area of the body is considered a high-priority emergency due to the risk of airway obstruction or intracranial hemorrhage.
What is the head (or neck)?
This lab test is used to measure the effectiveness of Warfarin (Coumadin) therapy.
What is PT/INR (Prothrombin Time/International Normalized Ratio)?
These types of medications, often taken by women, increase the risk of hypercoagulability and DVT.
What are oral contraceptives (or hormone replacement therapy)?
In hemophilia, this term describes painful bleeding into the joint spaces, which can lead to chronic crippling if not treated aggressively.
What is hemarthrosis?
To prevent DVT in bedbound or postoperative patients, nurses should apply these two types of mechanical compression.
What are TED hose (antiembolism stockings) and SCDs (sequential compression devices)?
When a patient is receiving a thrombolytic like Alteplase, the nurse’s priority assessment involves frequent checks of this system to detect intracranial hemorrhage.
What is the Neurological system?
Patients on Warfarin must maintain a consistent intake of this vitamin to avoid fluctuations in their INR.
What is Vitamin K?
Hemophilia is transmitted via this specific genetic pattern, which is why it primarily affects males.
What is X-linked recessive?
These are the three primary physical signs often seen in an extremity affected by DVT
What are pain (tenderness), swelling (edema), and warmth?
When managing a joint injury in a patient with hemophilia, the nurse should use this acronym for immediate care, while being cautious with the "C"
What is RICE (Rest, Ice, Compression, Elevation)?
This is the priority nursing diagnosis for a patient with hemophilia who has just experienced a fall.
What is Risk for Excessive Bleeding?
This specific medication is used as the primary treatment for Hemophilia A to replace what is missing.
What is Factor VIII?
This "age-related" risk factor increases the likelihood of venous thromboembolism, specifically for those over this age.
What is age 65?
What is the christmas disease?
What is Hemophilia B?
For a patient with deep vein thrombophlebitis, the nurse should specifically avoid this action to the affected extremity to prevent dislodging the clot
What is massaging the extremity?
When starting a heparin drip, the nurse must prioritize checking this lab value every 6 hours until a therapeutic range is reached.
What is aPTT (Activated Partial Thromboplastin Time)?
This lab test measures the residue of degrading blood clots and is often elevated in patients with DVT or PE.
What is D-dimer?
According to the clinical data, a 25-year-old with this specific medical device is at higher risk for DVT than an otherwise healthy 71-year-old.
What is a central venous catheter?