Essay on What Are Her Risk Factors For Developing A Vte?
What are her risk factors for developing a VTE? (Identify all factors)
Answer to Question 1 The risk factors that predisposes Mrs. X to develop a venous thromboembolism (VTE) are: advanced age, malignancy (cholangiocarcinoma), trauma (multiple falls), and recent major livery surgery (Schwartz & Rote, 2014, p. 1048-1050). Patients who are in their advanced ages are at risk in developing a VTE due to slower blood flow in their veins (Schwartz & Rote, 2014, p. 1048). Additionally, malignancy, trauma and post-operative state are examples of secondary or acquired hypercoagulability, which places individuals at risk for forming a VTE (Schwartz & Rote, 2014, p. 1049-1050). Moreover, one of Mrs. X’s surgeries was an extended right hepatectomy, which can result to an overall defect in hemostasis leading to problems with clotting systems or platelet function (Schwartz & Rote, 2014, p. 1043).
What are the age-dependent physiologic changes which occur in the coagulation cascade that make a geriatric patient more prone to develop a venous thromboembolism (VTE)?
Answer to Question 2 Per Rote and McCance, although the reason or link for hypercoagulability in older adults is not fully explained, there is possible increased platelet adhesiveness due to an increased level of fibrinogen and factors V, VII, and IX in older adults (Rote & McCance, 2014, p. 975). Similarly, despite its need for further research, a study by Mohebali, Kaplan, Carlisle, Supiano, and…