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Undiagnosed hypercoagulable state: a case study

E S McKeown

    Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
    |December 1, 1995
    PubMed
    Summary
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    This case study highlights the complex challenges in vascular nursing, detailing a young patient

    Area of Science:

    • Vascular Nursing
    • Critical Care Medicine
    • Patient Case Studies

    Background:

    • Vascular nursing requires extensive knowledge of anatomy, physiology, diagnostics, and treatments.
    • Managing complex vascular diseases and diverse patient populations presents ongoing learning opportunities.

    Observation:

    • A case study of a 22-year-old male with a severe, multi-system vascular complication cascade.
    • The patient experienced deep venous thrombosis, pulmonary embolism, phlegmasia cerulea dolens, compartment syndrome, sepsis, arterial thrombosis, coagulopathy, priapism, and laryngeal complications.
    • A critical event involved receiving a blood transfusion from an HIV-positive donor.

    Findings:

    • The case illustrates a rare and severe progression of vascular events in a young patient.

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  • It underscores the critical need for vigilant multidisciplinary care in complex vascular cases.
  • The experience highlights potential risks, including transfusion-transmitted infections, within critical care settings.

    • Implications:

    • Sharing this case provides valuable learning for vascular nurses and healthcare professionals.
    • It emphasizes the importance of comprehensive patient assessment and management in high-risk vascular scenarios.
    • This case study contributes to the understanding of rare vascular emergencies and associated nursing challenges.