CHAP 25 - THROMBOPHLEBITIS Flashcards
Thrombophlebitis is Classified as either:
1) Superficial vein disease (SVD)
2) Deep vein thrombosis (DVT)
Thrombophebitis tends to occur because:
A pt’s fibrinogen level is still elevated from
pregnancy, leading to increased blood clotting.
Dilatation of lower extremity veins is still present as a
result of pressure of fetal head during pregnancy and
birth so blood circulation is sluggish.
the femoral, saphenous or
popliteal veins are involved.
FEMORAL THROMBOPHLEBITIS
FEMORAL THROMBOPHLEBITIS IS FORMERLY CALLED
MILK LEG OR PHLEGMASIA ALBA DOLENS (WHITE INFLAMMATION)
a pt will generally have an elevated temperature, a systemic
fever, chills, and pain.
FEMORAL THROMBOPHLEBITIS
Never massage the skin over the clotted area
because this could loosen the cloth, causing a pulmonary or
cerebral embolism.
NOTE
8 PREVENTING THROMBOPHLEBITIS
Ask your primary care provider if you can use a
side-lying or back-lying (supine recumbent) position for
birth rather than a lithotomy position because a
lithotomy position can increase the tendency for
pooling of blood in the lower extremities.
If you will be using a lithotomy position, ask for padding
on the stirrups to prevent pressure on the calf of your
legs.
Drink adequate fluids to be certain you’re not
dehydrated (6-8 glasses of fluid per day).
Do not sit with your knees crossed or bent sharply and
avoid wearing constricting clothing such as knee-high
stockings.
Ambulate as soon after birth as possible.
When resting in bed, wiggle your toes or do leg lifts to
improve venous return.
Ask your primary care provider if they recommend
support stockings.
Quit smoking.
FEMORAL THROM:
a pt will generally have an ______
elevated temperature, a systemic
fever, chills, and pain.
SEPTIC PELVIC THROMBO:
a pt suddenly becomes _________
extremely ill, with a high fever, chills,
abdominal pain, weakness, and generate malaise.
involves the ovarian,
uterine, or hypogastic veins.
SEPTIC PELVIC THROMBOPHLEBITIS
is obstruction of the pulmonary artery
by a blood cloth;
PULMONARY EMBOLUS
it usually occurs as a complication of
thrombophlebitis when a blood clot moves from a leg vein to
the pulmonary artery.
PULMONARY EMBOLUS
The signs of pulmonary embolus are (5)
sudden, sharp chest pain; tachypnea; tachycardia; orthopnea
(inability to breathe except in an upright position); and
cyanosis (the blood clot is blocking both blood flow to the
lungs nad return to the heart).
may occur as early as the
7th postpartum day or not until the baby is week or months
old. Primary cause is milk stasis.
MASTITIS
PRIMARY CAUSE IS MILK STASIS
MASTITIS
PREVENT MASTITIS
Making certain the baby is positioned correctly and
grasps the nipple properly, including both the nipple
and areola.
Helping a baby release a grasp on the nipple before
removing the baby from the breast.
Washing hands between handling perineal pads and
touching breasts.
Exposing nipples to air for at least part of every day.
Possibly using vit E ointment daily to soften nipples.
Encouraging birthing parents to begin breastfeeding
(when the infant sucks most forcefully) on an unaffected
nipple (if a person has one cracked nipple and one well
nipple).
occurs when the bladder is unable to
empty completely.
URINARY RETENTION
A person who catheterized at the time of childbirth or during
the postpartum period is prone to the development of a
urinary tract infection because _______
bacteria may be introduced
into the bladder at the time of catheterization.
UTI
the cardinal symptoms are the same
as those of prenatal preeclampsia: proteinuria, edema and
increased blood pressure
POSTPARTUM ECLAMPSIA
- one rare reason this condition occurs is retention of some
placental material.
POSTPARTUM ECLAMPSIA
Treatment Measures are the same as for Antepartum
Preeclampsia
Bed rest
A quiet atmosphere
Frequent monitoring of vital signs and urine output
Administration of magnesium sulfate and an
antihypertensive agent as needed.
URINARY SYS DISORDER
URINARY RETENTION
UTI
CVS DISORDERS
POSTPARTUM ECLAMPSIA
ANTEPARTUM PRE-ECLAMPSIA
REPRO SYS DISORDERS
REPRODUCTIVE TRACT DISPLACEMENT
SEPARATION OF THE SYMPHYSIS PUBIS
