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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 II: Clinical Manifestations and Diagnostic Studies01:20

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

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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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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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Venous Thromboembolism Risk Assessment and Prophylaxis: An Audit-Based Study.

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  • 1Respiratory Medicine, University Hospital Waterford, Waterford, IRL.

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Summary
This summary is machine-generated.

Venous thromboembolism (VTE) prophylaxis compliance improved significantly after protocol enforcement and staff education. However, some high-risk patients still missed essential preventative treatments, highlighting the need for continued vigilance.

Keywords:
anticoagulationmortalityprescription-accuracypreventionvenous-thromboprophylaxis

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Area of Science:

  • Clinical Medicine
  • Healthcare Management
  • Patient Safety

Background:

  • Venous thromboembolism (VTE), encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE), is a major cause of preventable hospital-acquired mortality.
  • Early 2024 data indicated suboptimal VTE prophylaxis protocol compliance at Bon Secours Hospital, Cork.

Purpose of the Study:

  • To assess the effectiveness of implementing VTE risk assessment and prophylaxis strategies.
  • To evaluate adherence to National Institute for Health and Care Excellence (NICE) guidelines for VTE prevention in adult inpatients.

Main Methods:

  • A study involving 127 adult inpatients at increased risk of VTE across nine wards.
  • Risk assessment included age (≥60), major surgery, comorbidities (cancer, hypertension, diabetes, etc.), and bleeding risk factors.
  • Data analysis focused on NICE guideline compliance for risk assessment accuracy, completeness, and prophylaxis prescription.

Main Results:

  • VTE risk assessment completion reached 87.39% (111/127), with 79.52% (101/127) completed within 24 hours.
  • Over 80% of patients had at least one VTE risk factor, primarily advanced age and comorbidities.
  • Despite high-risk identification, 17.32% (22/127) of patients did not receive any VTE prophylaxis.

Conclusions:

  • Enforced VTE prophylaxis protocols and multidisciplinary education significantly enhance prevention efforts.
  • Real-time prompts within electronic health record systems could improve timely prophylaxis administration.
  • Sustained efforts are needed to ensure all high-risk patients receive appropriate VTE prevention.