Preventing DVT in orthopaedic patients

Deep-vein thrombosis (DVT) is a serious and complicated aspect of orthopaedic surgery, especially in surgery that involves hip and knees. The possibility of pulmonary embolism as a consequence of DVT is life-threatening and the costs associated with treating DVT are enormous. The emotional consequences of pain, extended isolation, and impaired social interaction impact every aspect of the lives of patients with DVT. Since the signs and symptoms of DVT are nonspecific and treatment may be delayed until complications arise, prevention of DVT with prophylactic therapy is often the chosen route of post-surgical care. In this article anticoagulant agents used in DVT prophylaxis are discussed and nursing responsibilities for patient care and education are identified.