risk factors for DVT - Answer- Smoking
Overweight/obese
Prolonged bed rest or being immobile for long periods of time
Older age (risk increases as age increases)
Oral contraceptive use
History of a previous DVT
Venous status, IV Cath, HTN, varicose veins, hypercoagulability
Identify at least 5 risk factors from L.J.'s history. - Answer- 48 pack year smoking history
Frequent episodes of atrial flutter or fibrillation
2 previous episodes of DVT
Advanced age (70 years old)
Borderline high cholesterol (206mg/dL)
History of sedentary lifestyle
Based on his history, L.J. should have been taking an important medication. What is it
and why should he be taking it? - Answer- L.J should have been prescribed an
anticoagulant since he has had 2 previous episodes of DVT. This type of medication will
prevent the formation of clots and help reduce the chances of getting another DVT.
Some examples of anticoagulants that could have been prescribed are Apixaban,
Warfarin, and Heparin.
Keeping in mind L.J's health history and admitting diagnosis, outline the most important
assessments you will make during your physical examination. - Answer- a. Assessment
of affected leg- assess for warmth, redness, edema, pain, distal pulses, and capillary
refill. Also compare assessment to unaffected leg.
b. Obtain baseline vital signs
c. Continue to monitor for signs of pulmonary embolism- tachycardia, restlessness,
dyspnea, tachypnea, sudden chest pain, cyanosis.
d. Mental status- assess for confusion, restlessness, and lethargy
What is the most serious complication of DVT? - Answer- The most serious
complication is the development of a pulmonary embolism. This happens when the
thrombi that originated somewhere in the venous system travels to the lungs and
obstructs the pulmonary artery or one of its branches.
List at least 8 assessment findings you should monitor closely for in the development of
the complication - Answer- 1. Tachycardia
2. Tachypnea
3. Dyspnea
4. Chest pain
5. Diaphoresis
6. Cough