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DEEP VEIN THROMBOSIS DVT - Coggle Diagram
DEEP VEIN THROMBOSIS
DEFINITION
in a deep vein of the pelvic or legs
accompanied by an inflammation
it is a blood clot found
around the affected area
CLINICAL MANIFESTATIONS
discolored or redness skin on the leg
a feeling of warmth in the effected area.
calf pain, cramping or soreness.
swelling and redness in the affected limb.
NURSING MANAGEMENT
obtain periodic coagulation tests
elevate affected or both legs
monitor oral anticoagulants
turn patient every two hours without crossing legs
CAUSES
obesity
coagulation abnormalities.
sitting for long period of time in elders.
prolonged bed rest, immobility.
following surgery or trauma
during pregnancy and postpartum
contraceptives with high oestrogen content
after orthopaedic surgery.
history of deep vein thrombosis.
certain malignancies eg. pancreatic cancer.
PATHOPHYSIOLOGY
the area of the leg or arm that is swollen
or hurt may be warmer than usual
pain or tenderness on the leg.
skin that is red or discolored
swelling of the leg or arm.
the veins near the skin surface
may be larger than normal
DIAGNOSTIC TEST.
Magnetic resonance imaging.
magnetic resonance venography.
Venography.
A duplex venous ultrasound.
Computed tomography scan
DIET THERAPHY.
Eat more fruit and more vegetables.
Eat low fat protein sources.
Avoid processed food and sugar product.
Eat whole grains.
Avoid unhealthy fat and sodium.
COMPLICATIONS
chest pain.
rapid heartbeat
shortness of breath.
coughing up blood
weak pulse
bluish skin
restlessness
HEALTH EDUCATION.
exercise irregularly
Eat healthy
Quit smoking
Wear special supporting stocking eg. compression stocking
Drink plenty of water
REFERENCES
Stone,J., Hangge, p., Abadawi, H., (2017). Deep vein thrombosis: Pathogenesis, diagnosis, and medical management.
Cardiovascular Diagnosis and Therapy
, 7, S276-S284.
PHAMARCOLOGICAL THERAPY
warfarin
edoxaban
fondaparinux
heparin
NURSING CARE PLAN
NURSING DIAGNOSIS
acute pain
risk for bleeding
impaired gas exchange
NURSING OUTCOME
client should exercise to help with blood flow
client should drink lots of water to help with blood flow
if client has edema, client should elevate leg
NURSING ASSESSMENT
general medical history
physical body examination
presenting signs and symptoms
NURSING INTERVENTION
exercise and positioning of the patient
provide comfort by elevating affected limbs
