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Thrombophlebitis Continued Nick Myhre
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Signs and Symptoms Swelling, Redness, and Pain associated with the clot.
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Prehospital Tx Elevate the affected area Remove any undue pressure to reduce damage to tissue Apply moist heat to the area Medications –NSAIDs –Antibiotics if the area is infected –Analgesics
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More Info If superficial thrombophlebitis is evident without obvious cause, suspect deep vein thrombophlebitis because the pathophysiology and risk factors. –This happens because the body is secreting clotting factors in that area, and they can be lodged in multiple places. –After autopsies MEs have found that DVTs were not contiguous with superficial thrombophlebitis.
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More Info Deep Vein Thrombophlebitis are usually silent, but can present the normal signs and symptoms. Trauma is a very common cause of the phlebitis because trauma causes and inflammation in the area, increasing the platelet aggregation.
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I was wrong Pregnant women or postpartum women are at increased risk because of the elevated estrogen levels, which causes platelets to become sticky, and clot
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Found a better site Lots of possible causes –AIDS (lupus anticoagulant) –Antithrombin III deficiency –Behçet disease –Blood type A –Burns –Catheters (indwelling venous infusion catheters) –Chemotherapy –Congestive heart failure –Drug abuse (intravenous [IV] drugs) –Drug-induced lupus anticoagulant –DVT in the past –Estrogen replacements (high dose only) –Fibrinogen abnormality –Fractures –Hemolytic anemias –Heparin-associated thrombocytopenia –Homocysteinemia –Homocystinuria –Hyperlipidemias –Immobilization –Malignancy Myocardial infarction Obesity Old age Oral contraceptives PE in the past Phenothiazines Plasminogen abnormality Plasminogen activator abnormality Polycythemia Postoperative Postpartum period Pregnancy Protein C deficiency Protein S deficiency Resistance to activated protein C Systemic lupus erythematosus Thrombocytosis Trauma Ulcerative colitis Varicose veins Venography Venous pacemakers Venous stasis Warfarin (first few days of therapy)
![Found a better site Lots of possible causes –AIDS (lupus anticoagulant) –Antithrombin III deficiency –Behçet disease –Blood type A –Burns –Catheters (indwelling venous infusion catheters) –Chemotherapy –Congestive heart failure –Drug abuse (intravenous [IV] drugs) –Drug-induced lupus anticoagulant –DVT in the past –Estrogen replacements (high dose only) –Fibrinogen abnormality –Fractures –Hemolytic anemias –Heparin-associated thrombocytopenia –Homocysteinemia –Homocystinuria –Hyperlipidemias –Immobilization –Malignancy Myocardial infarction Obesity Old age Oral contraceptives PE in the past Phenothiazines Plasminogen abnormality Plasminogen activator abnormality Polycythemia Postoperative Postpartum period Pregnancy Protein C deficiency Protein S deficiency Resistance to activated protein C Systemic lupus erythematosus Thrombocytosis Trauma Ulcerative colitis Varicose veins Venography Venous pacemakers Venous stasis Warfarin (first few days of therapy)](http://images.slideplayer.com/26/8775906/slides/slide_7.jpg "Found a better site Lots of possible causes –AIDS (lupus anticoagulant) –Antithrombin III deficiency –Behçet disease –Blood type A –Burns –Catheters (indwelling venous infusion catheters) –Chemotherapy –Congestive heart failure –Drug abuse (intravenous [IV] drugs) –Drug-induced lupus anticoagulant –DVT in the past –Estrogen replacements (high dose only) –Fibrinogen abnormality –Fractures –Hemolytic anemias –Heparin-associated thrombocytopenia –Homocysteinemia –Homocystinuria –Hyperlipidemias –Immobilization –Malignancy Myocardial infarction Obesity Old age Oral contraceptives PE in the past Phenothiazines Plasminogen abnormality Plasminogen activator abnormality Polycythemia Postoperative Postpartum period Pregnancy Protein C deficiency Protein S deficiency Resistance to activated protein C Systemic lupus erythematosus Thrombocytosis Trauma Ulcerative colitis Varicose veins Venography Venous pacemakers Venous stasis Warfarin (first few days of therapy)")
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