Priority for DVT

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    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?
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  4. 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
  5. 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
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    Assess for negative homan's sign every shift?
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    giving ordered anticoagulant meds and monitoring?

    teaching about s/s PE or CVA?
    Last edit by xtxrn on Nov 3, '11
  8. 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
  9. 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.
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    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.
  11. 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.
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    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.


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