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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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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...
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Venous Thrombosis IV: Nursing Management01:30

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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,...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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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...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Venous Thrombosis I: Introduction01:30

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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...
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Managing Venous Thromboembolic Disease On-Call.

Jason W Mitchell1, William G O Connell1, Charles A Gilliland2

  • 1Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image Guided Medicine, Emory University Hospital, Atlanta, GA.

Techniques in Vascular and Interventional Radiology
|December 12, 2017
PubMed
Summary

Managing on-call venous thromboembolic disease requires balancing patient risk, benefits, and hospital resources. This approach helps determine emergent versus delayed intervention for deep venous thrombosis and pulmonary embolism cases.

Keywords:
DVTdeep vein thrombosispulmonary embolismthromboembolicthromboembolismvenous

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Area of Science:

  • Interventional Radiology
  • Vascular Medicine
  • Emergency Medicine

Background:

  • On-call interventional radiology (IR) management of venous thromboembolic disease (VTE) presents unique challenges.
  • Decisions involve balancing immediate patient needs with available resources, including IR suite capacity and hospital support.
  • Effective on-call VTE management requires a systematic approach to risk-benefit assessment.

Purpose of the Study:

  • To outline a practical framework for managing on-call VTE cases.
  • To differentiate between emergent and delayed interventional treatment strategies.
  • To emphasize the importance of preprocedural clinical evaluation.

Main Methods:

  • Review of on-call VTE case management protocols in an interventional radiology practice.
  • Categorization of VTE cases (e.g., deep venous thrombosis, acute pulmonary embolism).
  • Criteria for determining emergent versus delayed intervention based on clinical assessment and resource availability.

Main Results:

  • A structured approach allows for efficient decision-making in on-call VTE scenarios.
  • Preprocedural clinical assessment is paramount in guiding treatment urgency.
  • Resource availability significantly influences the timing and type of intervention.

Conclusions:

  • A systematic, resource-aware approach optimizes on-call VTE management.
  • Timely and appropriate intervention for VTE can be achieved through careful clinical assessment.
  • Interventional radiology plays a critical role in the emergent and urgent care of VTE patients.