Beruflich Dokumente
Kultur Dokumente
Acute pain
Activity intolerance
Ineffective tissue perfusion: Peripheral
TREATMENT
Teaching topics
CAUSES
Hypercoagulability (from cancer, blood
dyscrasias, hormonal contraceptives)
Injury to the venous wall (from I.V. injections, fractures, antibiotics)
Venous stasis (from varicose veins, pregnancy, heart failure, prolonged bed rest)
ASSESSMENT FINDINGS
Deep vein thrombophlebitis
Cramping calf pain (may be painless)
Edema
Tenderness to touch
NURSING DIAGNOSES
Drug therapy
Anticoagulants: warfarin (Coumadin), heparin, enoxaparin (Lovenox)
Anti-inflammatory agents: aspirin,
dalteparin (Fragmin)
Fibrinolytic agents: streptokinase (Streptase)
313419NCLEX-RN_Chap03.indd 63
63
A clot is typically
caused by venous
stasis, endothelial
damage, and
hypercoagulability.
This is called
Virchows triad.
4/8/2010 7:01:52 PM