DVT-basics
A blood clot formed in large deep veins
Deep vein thrombosis (DVT)
Venous stasis, Hypercoagulability, trauma to vein
Virchow's Triad
lab test used to r/o DVT, fragment of fibrin
D-dimer
Takes 5 days to reach therapeutic level, dose adjusted to desired INR
Warfarin
Health history, physical assessment
Nursing assessment
major life threatening complication of DVT
PE
Bed rest, prolonged immobility,
Venous stasis
very common non-invasive imaging using sound waves
Duplex venous ultrasound
Venous thrombectomy, vein ligation
Surgical intervention
Ineffective tissue perfusion; pain
Nursing diagnosis
Calf pain, swelling, tenderness, warmth, redness
Signs and symptoms of DVT
hereditary disorders, birth control pills, elevated clotting factors
Hypercoagulability
Gold standard for DVT diagnosis
Contrast venography
device implanted in chronic and recurrent DVT
IVC filter
promote effective peripheral perfusion, manage pain
Implementation
Compression stockings, SCD, LMWH
DVT prophylaxis