Related Experiment Video
Updated: Mar 1, 2026
10:26
A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
18.0K
Prognosis and Monitoring of VTE
Mouhib Naddour1, Mehboob Kalani, Yousef Hattab
1Division of Pulmonary and Critical Care Medicine and Department of Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Critical Care Nursing Quarterly
|May 31, 2017
Summary
Venous thromboembolism (VTE) requires careful management due to risks like recurrence and mortality. Treatment choices, including anticoagulants and filters, necessitate close patient monitoring for complications.
Area of Science:
- Cardiology
- Hematology
- Vascular Medicine
Background:
- Venous thromboembolism (VTE) presents diverse clinical challenges.
- Patients often have comorbidities, influencing treatment decisions.
- Pulmonary embolism and deep vein thrombosis share risks like recurrence and cardiac issues.
Purpose of the Study:
- To outline the clinical considerations for managing venous thromboembolism.
- To highlight risk stratification and mortality prediction in VTE patients.
- To discuss therapeutic options and the importance of monitoring.
Main Methods:
- Review of clinical presentations and patient populations.
- Analysis of risks associated with pulmonary embolism and deep vein thrombosis.
- Evaluation of treatment modalities and their associated complications.
Main Results:
- VTE patients face risks including hemodynamic instability, recurrence, and mortality.
- Prognostication models are validated for risk stratification.
- Therapeutic options like anticoagulants and IVC filters have distinct benefits and risks.
Conclusions:
- Effective VTE management hinges on understanding patient-specific factors.
- Risk stratification aids in predicting outcomes.
- Vigilant monitoring for VTE and treatment complications is crucial.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
425
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
425
01:30Venous Thrombosis IV: Nursing Management
324
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
324
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
399
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
399
01:27Pulmonary Embolism III: Nursing Management
548
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
548
01:30Venous Thrombosis I: Introduction
587
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
587
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
565
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
565