Priority for DVT

  1. 0 if you could only do 2 things for the patient that is at risk for DVT`s.. what would it be? I`m having a hard time prioritizing this since the interventions all seem equally important.. is there a rationale when it comes to what ABSOLUTELY has to get done over something else?
  2. Visit  Student2001 profile page

    About Student2001

    Joined Aug '11; Posts: 52; Likes: 4.

    21 Comments so far...

  3. Visit  Vectrexevo profile page
    0
    Quote from Student2001
    if you could only do 2 things for the patient that is at risk for DVT`s.. what would it be? I`m having a hard time prioritizing this since the interventions all seem equally important.. is there a rationale when it comes to what ABSOLUTELY has to get done over something else?

    Pressure support air thingys on the legs, early ambulation, no pillows under the knees... lovanox, teach s\s of a PE
  4. Visit  grantz profile page
    0
    Quote from Student2001
    if you could only do 2 things for the patient that is at risk for DVT`s.. what would it be? I`m having a hard time prioritizing this since the interventions all seem equally important.. is there a rationale when it comes to what ABSOLUTELY has to get done over something else?
    Elevate the feet above or level of the heart to promote venous return

    proper nutrition


    I am considering your patient as HIGH RISK FOR DVT but is not having a DVT yet.. so that will be helpful
  5. Visit  Constantly Surprised profile page
    0
    Assess for negative homan's sign every shift?
  6. Visit  xtxrn profile page
    0
    giving ordered anticoagulant meds and monitoring?

    teaching about s/s PE or CVA?
    Last edit by xtxrn on Nov 3, '11
  7. Visit  khotso mayelane profile page
    0
    elevate the limbs to promote venous return add low dose of heparin or available ant coangulant agents or use low dose of acetyl salisilate acid 75mg combine with the above po
  8. Visit  xtxrn profile page
    1
    Quote from khotso mayelane
    elevate the limbs to promote venous return add low dose of heparin or available ant coangulant agents or use low dose of acetyl salisilate acid 75mg combine with the above po
    These are not things nursing can do. This involves prescribing medications, and is beyond the scope of practice.
    talaxandra likes this.
  9. Visit  chevyv profile page
    1
    Use of compression stockings, ambulation, elevating legs while in bed or reclining, teaching regarding P.O. meds, teaching s/s of clots.

    The 2 things I guess would be importance of staying on medications/making sure the pt gets in for labs and the use of compression stockings. But the others are so important that teaching could include meds, s/s of DVT, leg elevation, and compression stockings.....Can't we stick them all under teaching,lol
    xtxrn likes this.
  10. Visit  turnforthenurseRN profile page
    3
    Quote from Constantly Surprised
    Assess for negative homan's sign every shift?
    When I first started nursing school they taught this; but a year later my instructors discouraged this because this can actually cause a thrombus to become an embolus = PE.

    Quote from khosto mayelane
    elevate the limbs to promote venous return add low dose of heparin or available ant coangulant agents or use low dose of acetyl salisilate acid 75mg combine with the above po


    As xtxrn said, this is beyond the scope of practice. You can collaborate with the physician and make suggestions to add an anticoagulant and make sure the patient takes these meds but that's it. There are other things that we as nurses can do.
    Hygiene Queen, OB-nurse2013, and xtxrn like this.
  11. Visit  KianaM profile page
    0
    Quote from Vectrexevo
    Pressure support air thingys on the legs, early ambulation, no pillows under the knees... lovanox, teach s\s of a PE
    Venodyne boots? Haha. Sequential compression devices and heparin are commonly used on the floor I work on to prevent DVTs.
  12. Visit  healthstar profile page
    0
    No compression stockings
  13. Visit  ooomonkeys profile page
    0
    If only two options?

    I would pick Lovenox (Or whatever anticoag ur hospital uses)

    and SCD's/TED hose
  14. Visit  grantz profile page
    2
    Quote from ooomonkeys
    If only two options?

    I would pick Lovenox (Or whatever anticoag ur hospital uses)

    and SCD's/TED hose
    Being a nurse meds are the last option. We must do some independent nursing action first
    turnforthenurseRN and xtxrn like this.


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