Thrombus/Embolus

Question 1

Definition

Answer 1

• embolus: a moving blood clot

- thrombus: a stationary blood clot

Question 2

assessment (thrombi)

Answer 2

• compare measurements bilaterally for symmetry
• compare heat bilaterally
• assess for edema: pitting or non-pitting
• Homan’s sign: you can see a positive Homan’s sign where the pain is felt when the feet are dorsiflexed

Question 3

risk factors (thrombus)

Answer 3

• venous stasis: increased risk of clot formation due to immobility from surgery (Sx), injury, or bed rest
• injury to the venous wall

Question 4

prevention (thrombi)

Answer 4

• passive ROM
• sequential compression device (SCD)

-TEDS or compression bandages
decreasing coagulation:

• heparin (IV)
• low dose heparin (subcutaneous): within our scope
• Coumadin: oral (monitor international normalized ratio/INR)

Question 5

Tx (Thrombi)

Answer 5

• activity may or may not be encouraged
• warm packs
• elevation
• anti-inflammatory meds
• low molecular weight heparin (LMWH)
• monitor for emboli