Thrombosis

Problematic issues of AV Fistulas (tab)AV fistulas are the first choice of access for dialysis patients, they come with their share of problems. Fistulas require surgery to join the patient’s own artery and vein. Having less severe problems over other types of accesses, listed below are several issues often faced by patients with AV fistulas. • Fistula surgery takes four to six weeks to mature and in rare instances can take up to a year. • “Steal Syndrome” usually the fault of a bad surgical…

An article that was published in the “Journal of Sleep Research”, stated that “When participants were exposed to 2.5 hours of video-game play prior to bed, subsequent objective sleep was shorter, by twenty-seven minutes, and less efficient compared to when they only played the video-game for 50 minutes.” The report done by D.L. King shoes that the reduction in sleep may have implications for daytime functioning and possible academic performance. Which over time can lead to failing grades and…

Operative Management of Portal Vein/SMV Trauma: Can We Just Ligate Case Scenario: A 21-year-old male presented to the emergency department after he was stabbed in the abdomen. On examination, his vital signs were significant for a systolic blood pressure of 70 mmHg, heart rate of 120 beats per minute, and a right upper quadrant stab wound. Given the concern for intra-abdominal bleeding, he was taken to operating room for exploratory laparotomy. The patient had a large right zone 1…

The 1983 study by Zihl, Von Cramon and Mai investigates motion blindness, or akinetopsia. The patient suffering with this disorder had a very limited perception of visual motion, motion in depth, apparent motion and did not see motion after effects. Brain damage, specifically bilateral, posterior brain damage, can sometimes result in disturbed perception of color and, as in the case of L.M., motion. More specifically, the area that was damaged was assumed to be the posterior part of the middle…

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…

Savaysa® (Edoxaban) New Drug Evaluation Manufacturer: Daiichi Sankyo Drug Class: Anticoagulant (Factor Xa Inhibitor) Pharmacology: Edoxaban is a selective inhibitor of factor Xa, which inhibits prothrombinase activity to result in prevention of the conversion of prothrombin to thrombin, inhibition of subsequent thrombin-induced platelet aggregation, and suppression of resultant thrombus formation. Pharmacokinetics: Edoxaban has a half-life of 10 to 14 hours, a time to peak of 1 to 2 hours, a…

monitored, Children who have the obsession will suffer physical issues. Chris Staniforth, 20, died from a blood clot after spending up to 12 hours at a time playing on his Xbox. Chris suffered a blockage to his lungs when he developed deep vein thrombosis (Daily Mail). Violent Video games can give you seizures. Photosensitive epilepsy is more common in children and adolescents, television screens or computer monitors due to the flicker or rolling images. Certain video games such as violent video…

Figure 3 (George & Ramlan, 2004) Diagnosis To rule out Deep vein Thrombosis • Run for blood test • Venography • Undergoes CT or MRI scans (Kane, Balint, Gibney, Bresnihan, & Sturrock, 2004) Cellulitis • Undergoes blood test • Wound culture Achilles Tendon rupture • Thompson Test Position: pt. prone on plinth with…

An eighty-five year old female came in with lower abdominal pain that had persisted for a few days. This patient has a history of hypertension, gastroesophageal reflux disease (GERD), dyslipidemia, glaucoma, deep venous thrombosis prophylaxis, and is a former smoker that quit 10 years ago. She has not been diagnosed with COPD or any other respiratory problems and had not had any significant surgeries. When she came into the emergency department her vitals were as follows: blood pressure 121/57,…

These problems can be caused by renal artery stenosis and renal vein thrombosis either the narrowing of the renal artery which supplies the kidneys with blood or the formation of a blood clot in the renal vein which drains blood from the kidney this is a post renal problem. Chronic kidney disease however usually occurs without…