The assessment of Mrs. C. C. would need to begin with a complete history and physical exam that includes a visual exam of her entire body/skin. The step would need to include a complete history of the present illness to detail the mechanisms of injury, history of other related injuries, and identify any other signs of bleeding. Coagulation trends would need to be reviewed. Diagnosis Thrombocytopenic Purpura Treatment Supportive…
Past Medical & Surgical History, Pathophysiology of medical diagnoses (with APA citations) 1. Iron Deficiency Anemia: The most commonly occuring cause of anemia. Iron deficiency results in the lack of iron for hemoglobin synthesis within the body. This may be a result of low intake, diminished absorption, physiological increase in requirements, excessive iron loss, chronic renal failure, hemodyalisis, and idiopathic iron loss.…
Another assessment the nurse monitors for is the formation of thrombosis or clots. “Because patients undergoing prostatectomy have a high incidence of DVT and pulmonary embolism, the provider may prescribe prophylactic low-dose heparin therapy” (Pellico, 2013, p. 963). Heparin helps to decrease the formation of clots, which can have a dangerous outcome if not caught early. While a patient is on heparin therapy, the nurse should cautiously monitor the client for bleeding (Pellico, 2013). Anxiety related to health status is a nursing diagnosis that would be appropriate for a client who is about to receive treatment.…
(Brown & Edward, 2012) DVT: Thrombosis is the homeostatic mechanism by which the blood coagulates or clots, an important process of hemostasis after the creation of the wound. Red blood cells, white blood cells, platelets are the sites of thrombus formation is the valve cusp of veins, venous stasis that allows the accumulation of blood products. The patient suffering from the symptoms of DVT or leg swelling, pain in extremity, skin redness and temperature over 38º C. If the superior vena Cava is precluded, can be symptoms of the extremities, neck, back and face.…
12 Feb. 2016. "Deep Vein Thrombosis (DVT). " Prevention. Web. 12 Feb. 2016.…
Venous Leg Ulcer and the calf-muscle pump Venous leg ulceration is defined as “an area of discontinuity of the epidermis and the dermis on the lower leg persisting for at least four weeks”. There are several aetiologies of leg ulcers but the most common are, chronic venous hypertension and peripheral arterial occlusive disease (Duff et al., 1999). Patients with venous leg ulcers have a dysfunction of the calf muscle pump (CMP) which is the main mechanism by which blood returns to the heart from the lower limbs. A defective CMP results in reduced ankle range of motion (ROM) and calf muscle activity which are the two main components of CMP (Orr et al., 2017). Araki et al.…
The two bind together inside blood vessel walls, creating a platelet plug, or a blood clot. When von Willebrand factor is scarce, platelets cannot adhere to each other properly, meaning they are unable to attach themselves to blood vessel walls. These patients typically have less than fifty percent of the normal von Willebrand factor in their blood (National Hemophilia). Without the presence of this critical component, uncontrollable bleeding can occur, along with other health…
Guidelines to screen and monitor for CVD in SMI patients have been developed both nationally and internationally, however are not being regularly applied (2). Method…
Overview Venous thromboembolism (VTE) is the collective term used to describe deep vein thrombosis (DVT) and pulmonary embolism (PE). What is DVT? DVT is a clot formation within the deep vasculature in the legs. What is PE?…
Oscillometric ABI measures by primary care nurses on a population with a 22% prevalence of PAD lacked sufficient agreement with conventional measures to be recommended for routine diagnosis of PAD. This pragmatic method may however be used as a screening tool high-risk and overt CVD patients in primary care as it can reliably exclude the…
CVI affects women, and older adults and CVI can be debilitating, costly, and affect one’s quality of life (Lewis et al., 2014). The diagnosis of CVI should be confirmed by the advanced practice nurse recognizing both signs and symptoms of the disease, along with confirmatory testing such as venous duplex reflux studies (Huether & McCance, 2012). The treatment of choice for CVI is compression therapy (Martinez-Zapata, 2016). Consequently the compliance rate with this therapy is often poor (Martinez-Zapata, 2016). Other forms of treatment for CVI consist of surgery, sclerotherapy, and phlebotonics (Martinez-Zapata , 2016).…
In patients with Peripheral Vascular Disease (PVD), there is a lesion that prevents the normal flow of blood to the peripheries. These lesions can be due to atherosclerosis, a thromboembolism, or vasculitis. With the presence of one or more of these factors, the lumen of the involved peripheral vessel narrows and consequently, results in a lower pressure at the distal segments. Depending on the severity of the disease, this can cause distal tissues to not be adequately perfused with blood, which can predispose these tissues to complications such as skin ulcers, gangrene, and tissue loss.2 Typically, PVD is diagnosed using the Ankle-Brachial Index (ABI), which uses either…
A common treatment method to help cure varicose veins or spider veins is sclerotherapy. It is a non surgical procedure using a solution that is injected into the veins in order to eliminate them. This procedure is quick and painless. The duration should not be any longer than 30-60 mins, allowing time for treatment even during your lunch hour. The injection is micro, and involves a sterile solution that is forced into the veins, thus irritating the vein lining, eventually causing it to disappear.…
INTRODUCTION This assignment is a continuity of my Assignment 1 in Module Clinical Practice 1. I have chosen 3 topics on my teaching session for my reflection; Arterial Blood Gases Interpretation, Electro Cardio Gram Interpretation and Ventilator Care Bundle. REFLECTION 1: Arterial Blood Gases Interpretation (496 words) Description: I have done on my teaching session with the topic Arterial Blood Gases Interpretation on 15th June 2016, I have been assessed by my senior colleague to evaluate on my overall presentation according to the evaluation of teaching checklist.…
This may arise from prolonged bed rest, long periods of immobility, pregnancy, hormone usage, surgery and cancer (Cushman, 2007). Pulmonary embolism is a severe complication that can follow from patients who suffer from deep vein thrombosis. This form of venous thrombosis is when a fragment of the blood clot detaches and moves into the blood stream. Eventually, this fragment circulates back to the lungs, which can lead to difficulties with breathing, an increased heart rate and feeling sharp pain sensations in their chest. The annual incidence rate in the United States for venous thrombosis is approximately 1 in every 1000 adults (White, 2003).…