Thrombophlebits Nick Myhre

What is it? "Thrombo" means "clot.“ "Thrombo" means "clot.“ “Phlebitis” is inflammation of a vein “Phlebitis” is inflammation of a vein Thrombophlebitis occurs when a blood clot causes inflammation in one or more of your veins, typically in your legs. On rare occasions, thrombophlebitis can affect veins in your arms or neck. Thrombophlebitis occurs when a blood clot causes inflammation in one or more of your veins, typically in your legs. On rare occasions, thrombophlebitis can affect veins in your arms or neck. Thrombophlebitis can be superficial or deep. Thrombophlebitis can be superficial or deep.

Superficial Thrombophlebitis May present with contusion in area of clot with hardening of the vein.

IV Phlebitis IV catheters can cause same effect as superficial thrombophlebitis IV catheters can become inflamed, and can veins harden. IV catheters can cause same effect as superficial thrombophlebitis IV catheters can become inflamed, and can veins harden. Trauma to a vein can also present the same way. Trauma to a vein can also present the same way.

Deep Vein Thrombosis DVT is when a clot gets lodged in a vein in a deep muscle. These are more a serious health issue. DVTs can result in an embolism which can result in Pulmonary Embolism. DVT is when a clot gets lodged in a vein in a deep muscle. These are more a serious health issue. DVTs can result in an embolism which can result in Pulmonary Embolism.

Complications associated with Not Good

Complications Cont. As noted earlier pulmonary embolism is possibility by dislodging a DVT. As noted earlier pulmonary embolism is possibility by dislodging a DVT. A large enough clot can cause a heart attack. A large enough clot can cause a heart attack. Also can cause a stroke. Also can cause a stroke.

Signs and Symptoms Varicose veins- the pooling of blood can lead to ballooning of the veins, resulting in varicose veins. Varicose veins- the pooling of blood can lead to ballooning of the veins, resulting in varicose veins. Swelling- In some cases, the pooling may become so bad that the leg swells (edema). Swelling- In some cases, the pooling may become so bad that the leg swells (edema). Skin discoloration- with chronic swelling and increased pressure on the skin, discoloration called stasis pigmentation may occur. In some cases, skin ulcers may develop. Skin discoloration- with chronic swelling and increased pressure on the skin, discoloration called stasis pigmentation may occur. In some cases, skin ulcers may develop.

PMHx Pt that are inactive for a long period of time, such as from sitting in a car or an airplane Pt that are inactive for a long period of time, such as from sitting in a car or an airplane Pt confined to bed for a long time, like after surgery, heart attack or a leg fracture Pt confined to bed for a long time, like after surgery, heart attack or a leg fracture Pt with cancer, such as pancreatic cancer, that may cause an increase of procoagulants — substances necessary for blood clotting (coagulation) — in your blood Pt with cancer, such as pancreatic cancer, that may cause an increase of procoagulants — substances necessary for blood clotting (coagulation) — in your blood Pt that had a stroke that resulted in paralysis of your arms or legs Pt that had a stroke that resulted in paralysis of your arms or legs Pt with pacemakers or have a thin, flexible tube (catheter) in a central vein, for treatment of a medical condition, which may irritate the blood vessel wall and decrease blood flow Pt with pacemakers or have a thin, flexible tube (catheter) in a central vein, for treatment of a medical condition, which may irritate the blood vessel wall and decrease blood flow

PMHx Cont Pregnant pts or postpartum, which means they have increased pressure in the veins of your pelvis and legs Pregnant pts or postpartum, which means they have increased pressure in the veins of your pelvis and legs Use oral contraceptives or hormone replacement therapy, which may increase the clotting factors in the blood Use oral contraceptives or hormone replacement therapy, which may increase the clotting factors in the blood Family Hx of a blood-clotting disorder or a tendency of blood clots Family Hx of a blood-clotting disorder or a tendency of blood clots Overweight or obese Overweight or obese Pt with varicose veins — clots may develop in dilated superficial veins (varicose veins), causing superficial thrombophlebitis Pt with varicose veins — clots may develop in dilated superficial veins (varicose veins), causing superficial thrombophlebitis Are a smoker Are a smoker

Treatment for Us Prehospital treatment is basically O2, establish an IV, and transport to appropriate facility. If thrombophlebitis becomes more than reddening and swelling, such as an embolism, support affected system. Prehospital treatment is basically O2, establish an IV, and transport to appropriate facility. If thrombophlebitis becomes more than reddening and swelling, such as an embolism, support affected system.

Hospital Treatment Compression Socks- prevent recurrent swelling, and reduces chances of new forming DVT Compression Socks- prevent recurrent swelling, and reduces chances of new forming DVT Medications such as Coumadin Medications such as Coumadin If not a candidate for medications, filters can be installed in inferior vena cava. If not a candidate for medications, filters can be installed in inferior vena cava. Varicose vein stripping, removing the problem area for good. Varicose vein stripping, removing the problem area for good. Bypass around occluded veins. Bypass around occluded veins.

Prevention KEEP MOVING KEEP MOVING Drink lots of fluids to avoid dehydration Drink lots of fluids to avoid dehydration If your forced to sit for hours, flex the calves, move the legs a few times an hour If your forced to sit for hours, flex the calves, move the legs a few times an hour Stay away from constrictive waist bands. Stay away from constrictive waist bands.

Questions

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