DVT

Question 1

What is DVT

Answer 1

Pain and tenderness, redness and swelling commonly in the calf

Question 2

Aetiology

Answer 2

Three factors know to cause DVT
- Venous stasis
- Hyper-coagulability
- Vessel wall injury

Question 3

What is venous stasis

Answer 3

This occurs with decreased blood flow - immobility, medications and heart failure

Question 4

What is Hyper-coagulability

Answer 4

this occurs with deficient fluid volume

Question 5

what is Vessel wall injury

Answer 5

This may occur due to venipuncture, medications, trauma and surgery

Question 6

Nursing diagnoses

Answer 6

Acute pain r/t oedema and inadequate tissue perfusion
Risk of developing PE r/t potential thrombus

Question 7

Assessments

Answer 7

Coldspa pain
Braden scale

Question 8

Interventions

Answer 8

Apply ted stockings as prescribed
Admin analgesia as prescribed
Monitor vital signs for changes

Question 9

Rational for
Apply ted stockings as prescribed
Admin analgesia as prescribed
Monitor vital signs for changes

Answer 9

Compression stockings enhance circulation by providing pressure on the leg to help return venous blood to the heart
To relieve pain from swelling
For early detection of PE