Thromboembolic Disorder Assessment: DVT/PE
|THROMBOEMBOLIC DISORDER ASSESSMENT: DVT/PE|
• Injury to vein
— Severe muscle injury
— Major surgery (abdomen, pelvis, hip, or legs)
• Reduced blood flow
— Confinement to bed (eg, due to a medical condition or post-surgery)
— Limited movement (eg, cast on a leg to help heal an injured bone)
— Prolonged sitting
• Increased estrogen
— Oral contraceptive use
— Hormone replacement therapy
— Pregnancy (post-partum period)
• Chronic medical illnesses
— Heart disease
— Lung disease
— Cancer and its treatment
— Inflammatory bowel disease (Crohn’s disease or ulcerative colitis)
— Previous DVT/PE
— Family history DVT/PE
— Age (risk increases as age increases)
— Central vein catheter
— 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:
— Get up and walk around every 2−3hrs.
— Do leg exercises.
— Wear loose fitting clothing.
• 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
— Injectable: heparin, low molecular weight heparin (LMWH), fondaparinux
— Oral: warfarin, dabigatran, rivaroxaban, apixaban, edoxaban
• Inferior vena cava filter
Adapted from: www.cdc.gov/ncbddd/dvt/facts.html.
Adapted from: https://www.cdc.gov/ncbddd/dvt/diagnosis-treatment.html.
For a list of medications used to prevent or treat DVT/PE, visit: www.eMPR.com.