DVT & VTE (Final) Flashcards
Thrombus
-Blood clot that remains attached to a vessel wall
-More common veins due to flow and pressure
What do you call a thrombus that has detached from the vessel wall
-Thromboembolus
Thrombus in circulation
Venous thromboembolism
DVT
Deep vein thrombosis
Occurring in the lower extremities
Thrombus in one of the deep veins of the body
Triad of Virchow
- Venous stasis (slow blood flow) (Older age and immobile) (Heart Failure)
- Venous endothelial damage (Trauma) (IV meds) (Surgery)
- Hyper coagulable states (Clotting disorders) (Cancer) (Pregnant) (Birth Control) (Recent surgery)
Patients of highest risk
-Ortho surgery, spinal cord injuries, obstetric/gynecologic conditions
Where do thrombus usually occur?
Near a venous valve
Inflammation around the thrombus promotes
Inappropriate platelet aggregation and the thrombus grows
-Can cause pain and redness or can have no symptoms
Complications of VTE/PE
Pulmonary Embolism (PE) (Prevents gas exchange)
Chronic thromboembolic pulmonary hypertension (SOB)
Post-thrombotic syndrome (chronic inflammation and chronic venous hypertension)
Phelgmesia cerula dolens (Painful blue inflammation)
Separate these
Treatment of VTE/DVT
-Anti-coagulation therapy
-Prevention of risk factors CRUCIAL
-IVC filters
-Embolectomy
-SCD’s TED hose, Mobilization