Thromboembolic Disorder Assessment: DVT/PE
|THROMBOEMBOLIC DISORDER ASSESSMENT: DVT/PE|
• Injury to vein
º Severe muscle injury
º Major surgery (abdomen, pelvis, hip, or legs)
• Reduced blood flow
º Confinement to bed (eg, due to a medical condition or post-surgery)
º Limited movement (eg, cast on a leg to help heal an injured bone)
º Prolonged sitting
• Increased estrogen
º Oral contraceptive use
º Hormone replacement therapy
º Pregnancy (post-partum period)
• Chronic medical illnesses
º Heart disease
º Lung disease
º Cancer and its treatment
º Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
º Previous DVT/PE
º Family history DVT/PE
º Age (risk increases as age increases)
º Central vein catheter
º Inherited clotting disorders
• Advise patient to move around as soon as possible after limited mobility (eg, post surgery).
• Use graduated compression stockings or medications to prevent DVT.
• Warn patient if sitting for long periods of time, such as traveling for >4hrs:
º Get up and walk around every 2−3hrs.
º Do leg exercises.
º Wear loose fitting clothing.
º Drink plenty of water; avoid alcohol or caffeinated beverages.
• Initiate therapeutic lifestyle changes: exercise regularly; maintain healthy weight; smoking cessation.
|Signs & Symptoms|
• Redness of the skin
• Difficulty breathing
• Tachycardia or irregular heartbeat
• Chest pain or discomfort
• Hypotension, lightheadedness, or fainting
• Low molecular weight heparin (LMWH)
• Warfarin (Coumadin)
• Compression stockings
• Emergency treatment at hospital
• Thromobolytics (life-threatening PE)
• Anticoagulants (prevention)
• Surgery (high risk)
Adapted from: www.cdc.gov/ncbddd/dvt/facts.html.
Adapted from: www.cdc.gov/ncbddd/dvt/treatments.html.
For a list of medications used to prevent or treat DVT/PE, visit: www.eMPR.com.