Thromboembolic Disorder Assessment: DVT/PE

Share this content:
THROMBOEMBOLIC DISORDER ASSESSMENT: DVT/PE
Risk Factors

• Injury to vein

º Fractures

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

º Paralysis

• 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)

• Other

º Previous DVT/PE

º Family history DVT/PE

º Age (risk increases as age increases)

º Obesity

º Smoking

º Hypertension

º Central vein catheter

º Inherited clotting disorders

Prevention

• 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
DVT PE

• Swelling

• Pain

• Tenderness

• Redness of the skin

• Difficulty breathing

• Tachycardia or irregular heartbeat

• Chest pain or discomfort

• Anxiety

• Hemoptysis

• Hypotension, lightheadedness, or fainting

Treatment
DVT PE

• Anticoagulants

• Heparin

• Low molecular weight heparin (LMWH)

• Warfarin (Coumadin)

• Compression stockings

• Surgery

• Emergency treatment at hospital

• Thromobolytics (life-threatening PE)

• Anticoagulants (prevention)

• Surgery (high risk)

REFERENCES

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.

(Rev. 8/2017)

Share this content:
You must be a registered member of Hematology Advisor to post a comment.

SIGN UP FOR FREE E-NEWSLETTERS