Muscle cramping Heaviness pressure of affected extremity Edema pain skin color

Muscle cramping heaviness pressure of affected

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Muscle cramping Heaviness/ pressure of affected extremity Edema, pain, skin color changes, and ulcers with venous stasis o Medical management/ nursing interventions – to promote venous return Elastic stockings Rest Elevate legs Sclerotherapy Surgery – vein ligation/ stripping - Venous thrombosis/ DVT – development of blood clot in deep veins r/t occlusion decreasing venous return resulting in thrombosis o Risk factors – venous stasis – long airplane trips d/t not moving hypercoagulability – dehydration causes hemoconcentration and increases clot development blood vessel trauma immobilization after surgery Can be seen in brachial/ arm d/t immobility of extremity Often d/t PICC line inserted o S/S – all occur along affected vein/ assessment Pain Edema – will be seen in pedal area
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Erythema – on calf indicates venous thrombus and not arterial Warmth Tenderness If thromboembolism occurs – sudden SOB and cyanosis D/t reaching lungs and preventing perfusion in lungs o Medical management/ nursing interventions If clot is in a deep vein – management needs to be more aggressive because clot is usually bigger Bedrest – do not want clot to dislodge and have potential to return to heart/ lungs Temporary for stabilization of clot Anticoagulants – used to stabilize clot by preventing clot expansion by Preventing blood flow going past clot to attach to clot – platelets, fiber, debris As blood flows past clot, molds the clot to form to the side of the vessel and results in the clot smoothing out over time restoring blood flow beyond it o Stabilizes clot Does not break up clot Meds – o Heparin or levonox – begin with these d/t immediate effects Injected med used during hospitalization and produces fast-acting effects Labs - aPTT o Coumadin/ Warfarin – for long-term therapy – takes several days to take effect PO med pt goes home with after therapeutic effects has been established in system Labs – PT/ INR o Increases risk of bleeding – especially if on both Fibrinolytics Elevate extremity above heart Surgery – indicated for large clots in large veins like femoral vein that has increased risk of becoming embolus Thrombectomy – clot removal Vena cava umbrella – Greenfield filter - Prevents clot from reaching lungs o Inserted through femoral vein and extends to superior vena cava and once in place filter is deployed open in case clot travels through femoral artery and heads towards heart/ lungs – filter catches clot and prevents pulmonary embolism or death o Diameter – about size of a dime when filter is completely opened o Can be seen on x-ray - Thrombophlebitis – inflammation of a vein w/ formation of thrombus - Thromboembolism – venous thrombus that breaks off and begins to move/ travel through venous system
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  • Fall '19
  • Venous insufficiency, intermittent claudication

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