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Deep vein Thrombosis (DVT) - Coggle Diagram
Deep vein Thrombosis (DVT)
Clot inside deep vein of fegs
venous Thromboembolism
Risk factors
Hypercoagulability
Dehydretes
High Alitudes
Oral contraceptives
Smoking
Polycythemia
Stasis of Blood
Immobility
Obese
Pregnant
Old
Heart failure
Endothelial Damage
Chemo
Central ling
Fractures
Sepsis
Surgeries
Prevention
Mobility: Ambulation , leg Excercise
Anti - Embolism Stockings ( No wrinkles )
Pneumatic compression Device
Anticoagulants
Hydration
No pillow under knee
No Prolonged sitting/ staning
No Constrictive clothing
No Crossing leg
No Smoking
Signs and symptoms
Homan's sign
NOT Reliable
Red,Hot,Swolten,Painful
Cramping
Throbbing
Discoloration
Onilateral
Diag nostics
D-dimer higs
Duplex Ultrasound
Treatment :Nursing Intervantions
Bed Rest
Elevate leg
Do Not Massage
Nursing Intervention : Bleeding Precautions
-Razors : Electric
-Avoid Rectal : No sup , ememas
-No NSAIDS : Aspirin , lbuprofen , Naproxen
-Decrease Needles : iv , im , subcutaneous
-Injury : Fall prevention
Surgical intervention : vena cava fitter
Complication : Pulmonary Embolism
Signs and Symptoms: sudden clest pain
Diagnosis : CT Scan
Treatment : Anticoagulants
Tretment : Medical Interventions :
Anticoagulants : Rin Ran Ban
Heparin
Prevents Clot Formation
aptt
25ถึง35 Not on heparin
1.5ถึง2.5x on hepain ( TTherapeutic )
Antidote : Protamine sulfate
complication : HIT
Heparin Induced Thromboccytopenier
Immune respnse
Clots
Tx : Argatroban
PIT
warfarin medicine
It is used for acute treatment, therefore it is used in hospitals
Warfarin is available as a medicine that causes blood clotting.
Warfarin works differently than heparin.
It takes time to work, so give heparin and warfarin at the same time.
Warfarin stops vitamin K, a blood clotting factor.
Advice for patients
Teach you how to take regular amounts of vitamin K
Eat as much leafy green vitamin K as possible.
Patients must be taught to eat a consistent amount of green leafy vegetables.
precautions
If the patient has warfarin too much in the body Can give an antidote, which is vitamin K.
complementary treatment precautions
Sometimes patients can take herbs that cause bleeding
ginseng
ginkgo
ginger
garlic
Patients still need anticoagulants even after leaving the hospital.